Surgical Outcome of Chronic Subdural Hematoma by Two Burr Hole Technique

Authors

  • Muhammad Mukhtar Khan Department of Neurosurgery Hayatabad Medical Complex
  • ZAHID ULLAH KHAN Department of Neurosurgery
  • MUSHTAQ . Department of Neurosurgery,

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 Neuro-surgery HMC, from 10th June 2014 to 10th March, 2015.
Materials and Methods: This study was conducted on one hundred and ninety – three (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 hundred and ninety – three (193) patients. Among these patients one hundred and forty– five were male and forty – eight 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 (43.0%) patients did not give history of any injury to the head. Twenty-nine patients were operated under local anesthesia while rest of one hundred and sixty – two were operated under general anesthesia. On discharge one hundred and sixty – three (84.5%) patients showed favorable outcome and thirty (15.5%) patients showed unfavorable surgical outcome. Out of them thirteen 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 burr hole 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

2018-10-09

Issue

Vol. 20 No. 3 (2016): July-September

Section

Original Articles

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