European Journal of Therapeutics
Original Investigation

Treatment of chronic subdural hematoma: 5-year clinical experience

1.

Clinic of Neurosurgery, Mehmet Akif Inan Training and Research Hospital, Sanliurfa, Turkey

2.

Clinic of Neurosurgery, Ceyhan State Hospital, Adana, Turkey

3.

Department of Neurosurgery, Faculty of Medicine, Cukurova University, Adana, Turkey

4.

Clinic of Neurosurgery, Adana Numune Training and Research Hospital, Adana, Turkey

Eur J Ther 2016; 22: 118-123
DOI: 10.5152/EurJTher.2016.002
Read: 296 Downloads: 144 Published: 03 September 2019

Abstract

Introduction: Chronic subdural hematoma is one of the most common types of intracranial hemorrhage, especially in the elderly. Multiple standart surgical techniques exist for the evacuation of chronic subdural hematoma. We compared the results of treatment with burr-hole craniostomy and craniotomy techniques.

 

Materials and Methods: A retrospective study was performed on 93 patients who underwent surgical treatment with chronic subdural hematoma. Two surgical procedures were performed; burr-hole craniostomy with membranectomy (Group A) and craniotomy with extensive membranectomy (Group B).

 

Results: The general outcome of the patients was good. Overall, the rate of reoperation was 11%. Individual reoperation rates of the groups were 14% and 5%, respectively. Coagulopathy was the most common cause of rebleeding in the reoperated patients’ group (80%) and the remaining patients had cerebral atrophy which was preventing re-expansion of the brain. In 76 patients, neurologic  status improved significantly in the postoperative period and the operative mortality rate was found 4%.

 

Conclusion: Both surgical techniques seem to be effective for the treatment of chronic subdural hemtaoma. Coagulopathy and brain atrophy are defined as two major risk factors for recurrence.

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EISSN 2564-7040