Surgical Outcome of Subdural Hematoma by Single Vs Double Burr Hole Technique

  • ASAD JAVED Quaid e Azam International hospital, Rawalpindi
  • SULTAN JALAL-UD-DIN FAISAL Liaqat National Hospital, Karachi
  • NIAZ AHMED PIMS, Islamabad
  • SULTAN SHAH Ponch Medical College, AJK
  • MUHAMMAD SAJID MEHMOOD Frontier Medical College, Abbottabad
  • SAJID RAZZAQ Assistant Professor Surgery, Poonch Medical College, Rawalakot, AJK
  • SHAMSUD DIN Quaid-e-Azam International Hospital, Rawalpindi,
Keywords: Chronic Subdural Hematoma, Single burr-hole craniotomy, Double burr-hole craniotomy

Abstract

Objective: To determine frequency of a favorable outcome of chronic subdural hematoma patients by single vs. double burr hole technique.
Materials and Methods: A randomized controlled trial was done in Neurosurgery Department, Pakistan Institute of Medical Sciences, Islamabad from 15th September 2016 to 15th August 2017. All patients in group A were operated through a single burr-hole technique either under general anesthesia or local. Group B patients were operated through double burr-hole technique.
Results: One hundred patients were included in this study, divided into two groups. Group A had mean age 54 years with STD of ± 5.7 while in group B, mean age was 53 years with STD of ± 6.3. In group A there were 35 (70%) male and 15 (30%) female patients while group B had 30 (60%) male and 20 (40%) female patients. In group A, mean GCS was 12.78 with STD of ± 1.4. In group B, mean GCS was 12.64 with STD of ± 1.3. The favorable outcome after surgery was attained in 43 (86%) patients in Group A while 46 (92%) patients in Group B.
Conclusion: Chronic subdural hematoma is a complication seen in older age after trivial trauma history. Single burr-hole drainage of hematoma is an effective method of treatment when compared with double burr-hole method which is more time consuming.

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Published
2019-06-04
Section
Original Article