Surgical Outcome of Chronic Subdural Hematoma by Two Burr Hole Technique

Authors

  • M Mukhtar Khan Department of Neurosurgery, Hayatabad Medical Complex, Peshawar
  • Zahid Ullah Khan Department of Neurosurgery, Hayatabad Medical Complex, Peshawar
  • Dr Mushtaq Department of Neurosurgery, Hayatabad Medical Complex, Peshawar

Keywords:

Chronic subdural hematoma, CT Scan, Two burr holes craniostomy

Abstract

Objective: To study postoperative outcome of chronic subdural hematoma by two burrhole technique.
Study Design: It was a descriptive cross sectional study.
Place and Duration of Study: It was a hospital based study which was conducted in the Department of Neurosurgery HMC, from 10th June 2013 to 10th June, 2015.
Materials and Methods: This study was conducted on 193 patients of chronic subdural hematoma. These patients were selected on the basis of history, clinical features and CT scan brain showing presence of chronic subdural hematoma. For data analysis SPSS version 20 software was used.
Results: We studied one 193 patients. Among these patients 145 were male and 48 were female with a male to female ratio of 3.1:1. The age range was 20 to 80 years with an average of 65.9 years. One hundred and ten patients (59.0%) gave a history of head injury. Eighty – three patients (43.0%) did not give history of any injury to the head. Twenty-nine patients were operated under local anesthesia while rest of 162 (84%) were operated under general anesthesia. On discharge 163 (84.5%) patients showed favorable outcome and 30 (15.5%) patients showed unfavorable surgical outcome out of them 13 patients died with a mortality rate of 6.7%.
Conclusion: Chronic subdural hematoma is an important reversible cause of mortality and disability specially in elder patients. A favorable surgical outcome was observed when patients of chronic subdural hematoma were operated by two burrhole technique and assessed after three days of surgery. Mortality and morbidity of chronic subdural hematoma has decreased markedly in recent years because of improved diagnostic facilities, early surgical intervention, good and minimal invasive surgical procedures.

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Published

2018-10-03

Issue

Vol. 20 No. 2 (2016): April-June

Section

Original Articles

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