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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
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Abstract

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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

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