Experience with a Burr-hole Craniostomy for Chronic Subdural Hematoma

Česká verzia

Authors: R. Kaiser ¹; L. Douda ¹; P. Waldauf ² ; L. Houšťava ¹; P. Haninec ¹
Authors place of work: 3. LF UK a FN Královské Vinohrady, Praha Neurochirurgická klinika ¹; 3. LF UK a FN Královské Vinohrady, Praha Klinika anesteziologie a resuscitace ²
Published in the journal: Cesk Slov Neurol N 2011; 74/107(5): 556-559
Category: Krátké sdělení

Summary

Chronic subdural haematoma is a very common disease of advanced age. Although often considered a trivial affection, its treatment in frequent recurrence may be difficult and its course may be fatal even if mini-invasive methods are used. The most-often used technique is evacuation via a burr-hole craniostomy, increasingly also via a simple twist-drill craniostomy. We present our experience of a group of 180 patients and a total of 201 symptomatic haematomas treated primarily by evacuation and irrigation via a small, burr-hole craniostomy. Drainage was employed in most of the cases. Risk of recurrence of haematoma led to 14.9% of the cases being re-operated. Mortality was low: 0.5% of the patients died soon after the operation. The risk of the recurrence was higher in cases of septated hematoma.

Key words:
chronic subdural hematoma – burr-hole craniostomy – craniotomy

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