Hostname: page-component-8448b6f56d-42gr6 Total loading time: 0 Render date: 2024-04-23T07:53:02.392Z Has data issue: false hasContentIssue false
  • English
  • Français

A Safe and Effective Method for Treatment of Chronic Subdural Haematoma

Published online by Cambridge University Press:  02 December 2014

Mustafa Gurelik ,
Adem Aslan ,
Bilge Gurelik ,
Unal Ozum ,
Özen Karadag  and
H. Zafer Kars
Mustafa Gurelik
Affiliation:
Department of Neurosurgery, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey
Adem Aslan
Affiliation:
Department of Neurosurgery , Faculty of Medicine, Kocatepe University, Afyon, Turkey
Bilge Gurelik
Affiliation:
Department of Anaesthesiology, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey
Unal Ozum
Affiliation:
Department of Neurosurgery, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey
Özen Karadag
Affiliation:
Department of Neurosurgery, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey
H. Zafer Kars
Affiliation:
Department of Neurosurgery, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
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:

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.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 34 , Issue 1 , February 2007 , pp. 84 - 87
Copyright
Copyright © The Canadian Journal of Neurological 2007

References

1. Ernestus, RI, Beldzinski, P, Lanfermann, H, Klug, N. Chronic subdural hematoma: surgical treatment and outcome in 104 patients. Surg Neurol. 1997;48:220–5.Google Scholar
2. El-Kadi, H, Miele, VJ, Kaufman, HH. Prognosis of chronic subdural hematomas. Neurosurg Clin N Am. 2000;11:553–67.CrossRefGoogle ScholarPubMed
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;61:523–8.Google Scholar
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;50:231–4.Google Scholar
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;93:796–9.CrossRefGoogle ScholarPubMed
6. Sambasivan, MS. An overview of chronic subdural hematoma: experience with 2300 cases. Surg Neurol. 1997;47:418–22.Google Scholar
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;57:405–10.Google Scholar
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;58:385–7.CrossRefGoogle ScholarPubMed
9. Hennig, R, Kloster, R. Burr hole evacuation of chronic subdural haematomas followed by continuous inflow and outflow irrigation. Acta Neurochir. 1999;141:171–6.Google Scholar
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;93:791–5.Google Scholar
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;52:591–4.Google Scholar
12. Asfora, WT, Schwebach, L. A modified technique to treat chronic and subacute subdural hematoma: technical note. Surg Neurol. 2003;59:329–32.Google Scholar
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;143:1041–4.Google Scholar