Clinical Presentation and Surgical Outcomes of Chronic Subdural Hematoma

  • Mukhtiar Ahmed Department of Neurosurgery Khairpur Medical College,
  • Fauzia Sajjad Punjab Institute of Neurosciences (PINS),
  • Ajmal Khan Services Hospital,
  • Talha Abass Fatima Jinnah Medical University, Lahore,
  • Hamid Akbar Department of Neurosurgery, Peoples Medical University of Health Sciences
  • Khawar Anwar

Abstract

Objective: The aim of this study was to access clinical presentation of chronic subdural hematoma and to evaluate the surgical outcome of evacuation of chronic subdural hematoma after single burrhole craniotomy with a close drainage system under local anesthesia.

Material & Methods:  A descriptive study conducted in the Neurosurgery Department of Khairpur Medical College Sindh. 30 patients of chronic subdural hematoma were included. Patients prepared for evacuation of chronic subdural hematoma through single burr hole followed by closed drainage system for two days.

Results:  The most common feature was gait disturbance followed by Hemiparesis and headache. Coexisting diseases were hypertension, Diabetes mellitus and Chronic Liver Disease, etc. and causes of CSDH were head injury (trivial trauma) and anticoagulant. Surgical decisions were taken on the bases of clinical presentation and radiological findings of patients. Surgical procedure single burrhole craniotomy followed by irrigation with normal saline and close drainage system for two days. On post-operative follow-up, a recurrence of CSDH occurred in two patients.

Conclusion:  Single burrhole craniotomy with close drainage system is a simple and safe procedure under local anesthesia for treatment of chronic subdural hematoma.

Keywords:  CSDH (chronic subdural hematoma), GCS (Glasgow coma score), Burrhole craniotomy, Neurosurgery & Subdural drain.

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Published
2021-01-01
Section
Original Article