SURGICAL TREATMENT OF CHRONIC SUBDURAL HEMATOMA: RETROSPECTIVE STUDY

H. Abood, Samir

	SURGICAL TREATMENT OF CHRONIC SUBDURAL HEMATOMA: RETROSPECTIVE STUDY
IRAQI JOURNAL OF MEDICAL SCIENCES
Article 1, Volume 5, Issue 1, 2007, Pages 66-73
Author
Samir H. Abood
Abstract
Background: Chronic subdural hematoma (CSH) is a common disease of the elderly, most of the patients being above fifty. It usually follows minor head trauma, and is bilateral in 25% of cases. Although surgical treatment is successful in most cases, it still involves high rates of mortality and recurrence. Objective: To propose a new surgical technique and evaluate it’s efficacy in reducing the Incidence of complications and recurrence. Methods: Twenty-four consecutive cases with CSH were diagnosed with computerized tomography and MRI and surgically treated using double burr hole evacuation and irrigation using small catheter manipulated inside the hematoma cavity. Results: The patients were 21 males and 3 females; the average age was 56 years. Progressive hemiparesis was the most common presentation, followed by headache and mental confusion. All patients except one made excellent neurological recovery, and were back to their pre-morbid condition. There was no mortality or recurrence. Conclusion: The surgical method used in this study offers simple way for slow and effective evacuation of CSH, and reduces recurrence. Key words: Chronic, intracranial hematoma, subdural hematoma, surgical treatment.
Keywords
chronic; intracranial hematoma; subdural hematoma; surgical treatment

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