Results of Comparison of Burr Hole Evacuation Versus Surgical Excision of Multiloculated Subdural Empyema

Authors

  • Rana Zubair Mahmood Neurosurgery Department, Punjab Institute of Neurosciences (PINS), Lahore
  • Mukhtiar Ahmed Lakho Neurosurgery Department, Punjab Institute of Neurosciences (PINS), Lahore
  • Muhammad Ajmal Khan Ayaz Neurosurgery Department, Punjab Institute of Neurosciences (PINS), Lahore
  • Shahzeb Ahmad Neurosurgery Department, Punjab Institute of Neurosciences (PINS), Lahore
  • Usama Mansoor Neurosurgery Department, Punjab Institute of Neurosciences (PINS), Lahore
  • Yasin Khan Neurosurgery Department, Punjab Institute of Neurosciences (PINS), Lahore
  • Muhammad Anwar Neurosurgery Department, Punjab Institute of Neurosciences (PINS), Lahore

DOI:

https://doi.org/10.36552/pjns.v28i1.958

Keywords:

Multiloculated Subdural Empyema, Burr Hole Evacuation

Abstract

Objectives:  We studied the results of results of comparison of burr hole evacuation versus surgical excision of multiloculated subdural empyema.

Material and Methods:  A total of 40 patients were admitted with the disease. We will analyze the results of 20 patients. It is a comparative observational study of 20 patients treated at the Punjab Institute of Neurosciences (PINS), Lahore. Presenting complaints of patients were fever, vomiting, headache, fits, etc.

Results:  The age range was 15 – 60 years. The mean age was 36 years, Medical management was given to 20 patients (100%) for 3 weeks. All patients were advised to take complete bed rest for 3 weeks. Anti-epileptic, Mannitol, antibiotics, and painkillers were the medications that were given. In this study, we will focus on the 20 patients treated surgically, and the analysis of 20 patients will be presented in complete detail. Our 10 (50%) patients were managed by burr hole evacuation of multiloculated subdural empyema. Surgical excision was done in 10 (50%) patients with multiloculated subdural empyema. Burr hole evacuation was done in patients who were old and unfit for surgery. Recurrence occurred in 5 (25%) patients who underwent management with burr hole evacuation and 1 (5%) patient in the excision group.

Conclusion:  The results of surgical excision of multiloculated subdural empyema are better than burr hole evacuation if the patient is for surgical excision.

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Published

2024-03-09

Issue

Vol. 28 No. 1 (2024): January-March

Section

Original Articles

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Copyright (c) 2024 Rana Zubair Mahmood, Mukhtiar Ahmed Lakho, Muhammad Ajmal Khan Ayaz, Shahzeb Ahmad, Usama Mansoor, Yasir Khan, Muhammad Anwar

The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).