Factors Deciding Outcome of Chronic Subdural Hematoma

Authors

  • Rohit Kumar Assistant Professor, Department of Neurosurgery, Patna Medical College and Hospital, Patna, Bihar, India
  • Rishi Kant Singh Assistant Professor, Department of Neurosurgery, Patna Medical College and Hospital, Patna, Bihar, India
  • Prasoon Saurabh Senior Resident, Department of Neurosurgery, Patna Medical College and Hospital, Patna, Bihar, India

Keywords:

CSDH, Craniostomy, Twist Drill.

Abstract

Background: C.S.D.H is a common condition in neurosurgical practise found widely in elderly people. Recurrence following surgical decompression is not uncommon and depends on mode of surgery. Objective: To identify the best mode of treatment in view of recurrence prevention. Methods: Cases of C.S.D.H operated at our hospital between 2018 - 2020 were reviewed prospectively. Data included preoperative and postoperative symptoms, type of surgical treatment, use of surgical drain and clinical outcome. Results: A total of 240 cases were analysed. And overall recurrence was 9.5 %. The risk of recurrence was higher in patients who undergone surgery without drain application, twist drill aspiration of hematoma and septate CSDH operated with burr hole craniotomy. Conclusion: Burr hole craniostomy with drain had lower recurrence rate in comparison to twist drill aspiration. Septate SDH may need craniotomy to prevent recurrence.

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Published

2021-12-31

How to Cite

Rohit Kumar, Rishi Kant Singh, & Prasoon Saurabh. (2021). Factors Deciding Outcome of Chronic Subdural Hematoma. International Journal of Health and Clinical Research, 4(24), 294–296. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/3852