Skip to main content Accessibility help
×
×
Home

A Safe and Effective Method for Treatment of Chronic Subdural Haematoma

  • Mustafa Gurelik (a1), Adem Aslan (a2), Bilge Gurelik (a3), Unal Ozum (a1), Özen Karadag (a1) and H. Zafer Kars (a1)...
Abstract
Objective:

Burr-hole irrigation and burr-hole drainage without irrigation are the most popular methods for treatment of chronic subdural haematoma. It is not well known if irrigation is necessary or which method has a higher recurrence rate. We compared the recurrence rates of those two methods.

Materials and Methods:

Forty-two patients were treated by burr-hole irrigation (irrigation group), whereas 38 patients were treated by burr-hole drainage (drainage group). Recurrence rate and its relation with sex, age, haematoma localization and aetiology were investigated in both groups.

Results:

There was no significant difference between recurrence rates of the two groups. There was also no correlation between recurrence rate and age, sex, haematoma localization, or aetiology.

Conclusions:

There was no significant difference between recurrence rates of the two groups. Since the burr-hole drainage method is simpler to carry out, its use may be preferable.

RÉSUMÉ: Objectif:

Les méthodes de traitement les plus populaires de l'hématome sous-dural chronique sont l'irrigation par trou de trépan et le drainage par trou de trépan sans irrigation. On ne sait pas vraiment si l'irrigation est nécessaire ou quelle méthode comporte le taux de récidive le plus élevé. Nous avons comparé le taux de récidive de ces deux méthodes de traitement.

Matériels et méthodes:

Quarante-deux patients ont subi une irrigation par trou de trépan (groupe avec irrigation) et 38 patients ont subi un drainage par trou de trépan (groupe avec drainage). Nous avons examiné le taux de récidive et sa relation au sexe, à l'âge, à la localisation de l'hématome et à son étiologie.

Résultats:

Nous n'avons pas observé de différence significative entre le taux de récidive des deux groupes ou de corrélation entre le taux de récidive et l'âge, le sexe, la localisation de l'hématome ou son étiologie.

Conclusions:

Il n'y avait pas de différence significative entre le taux de récidive des deux groupes. Comme la méthode de drainage par trou de trépan est plus simple, elle est probablement préférable.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      A Safe and Effective Method for Treatment of Chronic Subdural Haematoma
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      A Safe and Effective Method for Treatment of Chronic Subdural Haematoma
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      A Safe and Effective Method for Treatment of Chronic Subdural Haematoma
      Available formats
      ×
Copyright
References
Hide All
1. Ernestus, RI, Beldzinski, P, Lanfermann, H, Klug, N. Chronic subdural hematoma: surgical treatment and outcome in 104 patients. Surg Neurol. 1997;48:2205.
2. El-Kadi, H, Miele, VJ, Kaufman, HH. Prognosis of chronic subdural hematomas. Neurosurg Clin N Am. 2000;11:55367.
3. Lee, JY, Ebel, H, Ernestus, RI, Klug, N. Various surgical treatments of chronic subdural hematoma and outcome in 172 patients: is membranectomy necessary? Surg Neurol. 2004;61:5238.
4. Suzuki, K, Sugita, K, Akai, T, Takahata, T, Sonobe, M, Takahashi, S. Treatment of chronic subdural hematoma by closed-system drainage without irrigation. Surgical Neurol. 1998;50:2314.
5. Kwon, T-H, Park, Y-K, Lim, D-J, Cho, TH, Chung, YG, Chung, HS, et al. Chronic subdural hematoma: evaluation of the clinical significance of postoperative drainage volume. J Neurosurg. 2000;93:7969.
6. Sambasivan, MS. An overview of chronic subdural hematoma: experience with 2300 cases. Surg Neurol. 1997;47:41822.
7. Okada, Y, Akai, T, Okamoto, K, Lida, T, Takata, H, Lizuka, H. A comparative study of the treatment of chronic subdural hematoma-burr hole drainage versus burr hole irrigation. Surg Neurol. 2002;57:40510.
8. Nakajima, H, Yasui, T, Nishikawa, M, Kishi, H, Kan, M. The role of postoperative patient posture in the recurrence of chronic subdural hematoma: a prospective randomized trial. Surg Neurol. 2002;58:3857.
9. Hennig, R, Kloster, R. Burr hole evacuation of chronic subdural haematomas followed by continuous inflow and outflow irrigation. Acta Neurochir. 1999;141:1716.
10. Nakaguchi, H, Tanishima, T, Yoshimasu, N. Relationship between drainage catheter location and postoperative recurrence of chronic subdural hematoma after burr-hole irrigation and closed-system drainage. J Neurosurg. 2000;93:7915.
11. Benes, L, Eggers, F, Alberti, O, Bertalanffy, H. A new screw catheter kit for the beside treatment of chronic subdural hematomas. J Trauma. 2002;52:5914.
12. Asfora, WT, Schwebach, L. A modified technique to treat chronic and subacute subdural hematoma: technical note. Surg Neurol. 2003;59:32932.
13. Kuroki, T, Katsume, M, Harada, N, Yamazaki, T, Aoki, K, Takasu, N. Strict closed-system drainage for treating chronic subdural haematoma. Acta Neurochir. 2001;143:10414.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Canadian Journal of Neurological Sciences
  • ISSN: 0317-1671
  • EISSN: 2057-0155
  • URL: /core/journals/canadian-journal-of-neurological-sciences
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed