Outcome Difference between Traumatic and Spontaneous Chronic subdural hematoma

Authors

  • Sanaullah Pathan Department of Neurosurgery, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro
  • Abdul Rauf Memon Department of Neurosurgery, Bilawal Medical Collage, Jamshoro
  • Peer Asad Aziz Department of Neurosurgery, Bilawal Medical Collage, Jamshoro
  • Muzafar Ali Bhand Department of Neurosurgery, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro
  • Suhail Ahmed Aghani Department of Neurosurgery, Muhammad Medical Collage, Mirpurkhas
  • Hameedullah Khan Department of Neurosurgery, Indus Medical College, Tando Muhammad Khan – Pakistan
  • Zeeshan Nasir Department of Neurosurgery, Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro

DOI:

https://doi.org/10.36552/pjns.v28i2.961

Keywords:

chronic sub dural, spontaneous, traumatic, etiology

Abstract

Objective: To evaluate the effect of traumatic or spontaneous etiology on outcome of CSDH patients

Material and methods: It is retrospect case control study and was conducted in Liaquat University hospital. The duration of study was 1st Jan 2023 to 1stJan 2024. The patient that was included in study was divide into two groups either spontaneous or old history of trauma less than 3 months. The Pre-operative and post-operative GCS were noted. The post-operative (on discharge) GOSE were noted.

Results: Total numbers of 32 patients with 16 in single group were included, the mean age was 60, out of which 65.6% were males. . After surgery, the mean GCS in spontaneous group was 9.62 and 12.81 in traumatic group (p-0.020). The post-operative GOSE in spontaneous group was mostly Grade I (Dead, 56.2%) and Grade VIII (upper good recovery, 62.5%) in traumatic group. The effect on GOES either spontaneous or traumatic is non-significant that p- 0.051, but the spontaneous CSDH has more chances of being dead as compare to traumatic CSDH and vice versa with Odd ratio of 1.2.

Conclusion: The spontaneous etiology holds grave outcomes as compare to traumatic etiology. Both etiologies do improve the immediate Post-operative GCS but the GOES grading worsens with spontaneous etiology. 

References

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Published

2024-06-13

Issue

Vol. 28 No. 2 (2024): April-June

Section

Original Articles

License

Copyright (c) 2024 Sanaullah Pathan, Abdul Rauf Memon, Peer Asad Aziz, Muzafar Ali Bhand, Suhail Ahmed Aghani, Hameedullah Khan, Zeeshan Nasir

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).