The Outcome of Burr Hole Evacuation Without Drain for Chronic Subdural Haematoma
Keywords:
Burr hole evacuation, chronic subdural haematomaAbstract
Objective: To evaluate the feasibility of burr hole evacuation of Chronic subdural haematoma (CSDH) without drain in terms of functional outcome, morbidity & mortality.
Place & duration of study: Department of neurosurgery, postgraduate medical institute, Hayatabad medical complex Peshawar, from 1st July 2007 to 30th June 2008 with 3 months follow-up.
Patients & methods: This study included 65 patients who presented in our unit with Chronic subdural haematoma (CSDH) from 1st July 2007 to 30th June 2008.
Results: A total number of 65 patients presented to us with Chronic subdural haematoma (CSDH) in above mentioned duration with a male to female ratio of 3.2:1 (51/16). The age range was from 27 years to 81 years with a Mean age of 57.5 years. 5 (8%) patients were 40 years of age & below, 12 (18%) patients were 41-50 years of age 26 (40%) patients were 51-60 years of age 14 (22%) patients were 61-70 years of age 8 (12%) patients were 71 years of age & above-history revealed fall in 26 (40%), RTA in 9 (14%), while 28 (43%) had no history of trauma.
Conclusion: Single & double burr hole evacuation is a safe & effective treatment for Chronic subdural haema-toma (CSDH) with low complications rate. The mortality associated with Chronic subdural haematoma (CSDH) is mainly determined by neurological status of the patient at time of presentation.
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