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[Surgical management of chronic subdural hematoma].

Zhixiong Liu, Weixi Jiang, Xi-ping Ding

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Abstract

OBJECTIVE: To report the experience of surgical treatment of chronic subdural hematoma (CSDH). METHODS: The clinical features, radiological findings, operative techniques and outcome of 156 patients with CSDH were analyzed retrospectively. RESULTS: All the patients (156) were initially treated by burr hole craniostomy with closed-system drainage, and 10 out of the 156 patients were reoperated by larger craniotomy. Of all the patients, 143 (91.7%) were cured, 8 (5.1%) had recurrence, 3 (1.9%) got hemiparalysis, and 2 (1.3%) died due to other diseases. CONCLUSION: Burr hole craniostomy with closed-system drainage is effective for the initial treatment of CSDH. Craniotomy should be carried out only in patients with accumulating hematomas.

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What this paper is about

OBJECTIVE: To report the experience of surgical treatment of chronic subdural hematoma (CSDH). METHODS: The clinical features, radiological findings, operative techniques and outcome of 156 patients with CSDH were analyzed retrospectively. RESULTS: All the patients (156) were initially treated by burr hole craniostomy with closed-system drainage, and 10 out of the 156 patients were reoperated by larger craniotomy. Of all the patients, 143 (91.7%) were cured, 8 (5.1%) had recurrence, 3 (1.9%) got hemiparalysis, and 2 (1.3%) died due to other diseases. CONCLUSION: Burr hole craniostomy with closed-system drainage is effective for the initial treatment of CSDH. Craniotomy should be carried out only in patients with accumulating hematomas.

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Available abstract

OBJECTIVE: To report the experience of surgical treatment of chronic subdural hematoma (CSDH). METHODS: The clinical features, radiological findings, operative techniques and outcome of 156 patients with CSDH were analyzed retrospectively. RESULTS: All the patients (156) were initially treated by burr hole craniostomy with closed-system drainage, and 10 out of the 156 patients were reoperated by larger craniotomy. Of all the patients, 143 (91.7%) were cured, 8 (5.1%) had recurrence, 3 (1.9%) got hemiparalysis, and 2 (1.3%) died due to other diseases. CONCLUSION: Burr hole craniostomy with closed-system drainage is effective for the initial treatment of CSDH. Craniotomy should be carried out only in patients with accumulating hematomas.

Key concepts: Chronic subdural hematoma, Craniotomy, Medicine, Surgery, Hematoma, Radiological weapon

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