Comparing the outcome of 3 different types of operative techniques practiced for chronic subdural hematoma
A retrospective study
Keywords:
chronic subdural hematoma, craniocerebral injury, hematoma evacuation, neurosurgical, subdural hematomaAbstract
Chronic subdural hematoma is a common condition of the neurosurgical department requiring surgical intervention. This is a retrospective study of Fifty cases of chronic subdural hematoma (CSDH) patients treated at SGT Medical College, Hospital, and Research Institute were enrolled in this study. The patients were divided into three groups based on the surgical technique performed: single bur-hole drainage (group A, n=40), double bur-hole drainage (group B, n=5), or craniostomy[Twist drill] with evacuation of hematoma (group C, n=5). The results of this study shows that craniostomy[Twist drill] with the evacuation of hematoma in CSDH patients significantly reduced the risk of recurrence, regardless of the number of burr holes used. We, therefore, recommend the use of craniostomy[Twist drill] with the evacuation of hematoma in CSDH patients.
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Asghar, M., Adhiyaman, V., Greenway, M. W., Bhowmick, B. K., & Bates, A. (2002). Chronic subdural haematoma in the elderly—a North Wales experience. Journal of the royal society of medicine, 95(6), 290-292.
Baechli, H., Nordmann, A., Bucher, H. C., & Gratzl, O. (2004). Demographics and prevalent risk factors of chronic subdural haematoma: results of a large single-center cohort study. Neurosurgical review, 27(4), 263-266.
Chen, J. C., & Levy, M. L. (2000). Causes, epidemiology, and risk factors of chronic subdural hematoma. Neurosurgery clinics of north America, 11(3), 399-406.
Chon, K. H., Lee, J. M., Koh, E. J., & Choi, H. Y. (2012). Independent predictors for recurrence of chronic subdural hematoma. Acta neurochirurgica, 154(9), 1541-1548.
Edlmann, E., Giorgi-Coll, S., Whitfield, P. C., Carpenter, K. L., & Hutchinson, P. J. (2017). Pathophysiology of chronic subdural haematoma: inflammation, angiogenesis and implications for pharmacotherapy. Journal of neuroinflammation, 14(1), 1-13.
Gernsback, J., Kolcun, J. P. G., & Jagid, J. (2016). To drain or two drains: recurrences in chronic subdural hematomas. World neurosurgery, 95, 447-450. https://doi.org/10.1016/j.wneu.2016.08.069
Han, H. J., Park, C. W., Kim, E. Y., Yoo, C. J., Kim, Y. B., & Kim, W. K. (2009). One vs. two burr hole craniostomy in surgical treatment of chronic subdural hematoma. Journal of Korean Neurosurgical Society, 46(2), 87.
Jang, K. M., Kwon, J. T., Hwang, S. N., Park, Y. S., & Nam, T. K. (2015). Comparison of the outcomes and recurrence with three surgical techniques for chronic subdural hematoma: single, double burr hole, and double burr hole drainage with irrigation. Korean Journal of Neurotrauma, 11(2), 75-80.
Jung, Y. G., Jung, N. Y., & Kim, E. (2015). Independent predictors for recurrence of chronic subdural hematoma. Journal of Korean Neurosurgical Society, 57(4), 266.
Kansal, R., Nadkarni, T., & Goel, A. (2010). Single versus double burr hole drainage of chronic subdural hematomas. A study of 267 cases. Journal of clinical Neuroscience, 17(4), 428-429. https://doi.org/10.1016/j.jocn.2009.07.109
Kim, D. H., Kim, H. S., Choi, H. J., Han, I. H., Cho, W. H., & Nam, K. H. (2014). Recurrence of the chronic subdural hematoma after burr-hole drainage with or without intraoperative saline irrigation. Korean Journal of Neurotrauma, 10(2), 101-105.
Kolias, A. G., Chari, A., Santarius, T., & Hutchinson, P. J. (2014). Chronic subdural haematoma: modern management and emerging therapies. Nature Reviews Neurology, 10(10), 570-578.
KUDO, H., KUWAMURA, K., IZAWA, I., SAWA, H., & TAMAKI, N. (1992). Chronic subdural hematoma in elderly people: present status on Awaji Island and epidemiological prospect. Neurologia medico-chirurgica, 32(4), 207-209.
Lee, C., Park, D. S., Song, S. W., Chun, Y. I., Cho, J., Moon, C. T., & Koh, Y. C. (2015). Effect of intra-operative saline irrigation during burr hole surgery on the recurrence for chronic subdural hematomas. The Nerve, 1(1), 26-29.
Lega, B. C., Danish, S. F., Malhotra, N. R., Sonnad, S. S., & Stein, S. C. (2010). Choosing the best operation for chronic subdural hematoma: a decision analysis. Journal of neurosurgery, 113(3), 615-621.
Leroy, H. A., Aboukaïs, R., Reyns, N., Bourgeois, P., Labreuche, J., Duhamel, A., & Lejeune, J. P. (2015). Predictors of functional outcomes and recurrence of chronic subdural hematomas. Journal of Clinical Neuroscience, 22(12), 1895-1900. https://doi.org/10.1016/j.jocn.2015.03.064
Lin, C. C., Lu, Y. M., Chen, T. H., Wang, S. P., Hsiao, S. H., & Lin, M. S. (2014). Quantitative assessment of post-operative recurrence of chronic subdural haematoma using mean haematoma density. Brain injury, 28(8), 1082-1086.
Mori, K., & Maeda, M. (2001). Surgical treatment of chronic subdural hematoma in 500 consecutive cases: clinical characteristics, surgical outcome, complications, and recurrence rate. Neurologia medico-chirurgica, 41(8), 371-381.
Okada, Y., Akai, T., Okamoto, K., Iida, T., Takata, H., & Iizuka, H. (2002). A comparative study of the treatment of chronic subdural hematoma—burr hole drainage versus burr hole irrigation. Surgical neurology, 57(6), 405-409.
Pahatouridis, D., Alexiou, G. A., Fotakopoulos, G., Mihos, E., Zigouris, A., Drosos, D., & Voulgaris, S. (2013). Chronic subdural haematomas: a comparative study of an enlarged single burr hole versus double burr hole drainage. Neurosurgical review, 36(1), 151-155.
Saito, K., Ito, H., Hasegawa, T., & Yamamoto, S. (1989). Plasmin-?2-plasmin inhibitor complex and ?2-plasmin inhibitor in chronic subdural hematoma. Journal of neurosurgery, 70(1), 68-72.
Santarius, T., Lawton, R., Kirkpatrick, P. J., & Hutchinson, P. J. (2008). The management of primary chronic subdural haematoma: a questionnaire survey of practice in the United Kingdom and the Republic of Ireland. British journal of neurosurgery, 22(4), 529-534.
Stippler, M., Ramirez, P., Berti, A., MacIndoe, C., Villalobos, N., & Murray-Krezan, C. (2013). Chronic subdural hematoma patients aged 90 years and older. Neurological research, 35(3), 243-246.
Tahsim-Oglou, Y., Beseoglu, K., Hänggi, D., Stummer, W., & Steiger, H. J. (2012). Factors predicting recurrence of chronic subdural haematoma: the influence of intraoperative irrigation and low-molecular-weight heparin thromboprophylaxis. Acta neurochirurgica, 154(6), 1063-1068.
Taussky, P., Fandino, J., & Landolt, H. (2008). Number of burr holes as independent predictor of postoperative recurrence in chronic subdural haematoma. British journal of neurosurgery, 22(2), 279-282.
Tugcu, B., Tanriverdi, O., Baydin, S., Hergunsel, B., Günald?, Ö., Ofluoglu, E., ... & Emel, E. (2014). Can recurrence of chronic subdural hematoma be predicted? A retrospective analysis of 292 cases. Journal of Neurological Surgery Part A: Central European Neurosurgery, 75(01), 037-041.
Weigel, R., Hohenstein, A., Schlickum, L., Weiss, C., & Schilling, L. (2007). Angiotensin converting enzyme inhibition for arterial hypertension reduces the risk of recurrence in patients with chronic subdural hematoma possibly by an antiangiogenic mechanism. Neurosurgery, 61(4), 788-793.
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