Chronic subdural hematoma : Surgical treatment and outcome in 104 patients

摘要: BACKGROUND The common occurrence of chronic subdural hematoma (CSDH) in older patients raises some diagnostic and therapeutic difficulties. Despite general agreement about the indication operation, extent surgery is still discussed controversially. We have, therefore, reviewed operative findings outcome 104 with CSDH. METHODS Retrospective analysis was performed by differentiating age ≤60 years (n = 28) versus >60 76) burr hole craniostomy a size range from 12-30 mm 94) larger craniotomy 10). All received closed-system drainage space for 2-4 days. RESULTS Four than 60 died within 30 days after surgery, two each group. Excluding these postoperative deaths, 17 out 92 (18.5%) trepanation one eight (12.5%) required reoperation due to rebleeding 6), residual fluid 4), thick membranes 8). Eight patients, who had been initially treated despite preoperative detection neomembranes contrast-enhanced computed tomography (CT) or magnetic resonance imaging (MRI), recovered without further intervention. Clinical good both groups. percentage only mild neurologic deficits at time discharge hospital 72.3% 70.0% group, respectively. CONCLUSIONS clinical data present study suggest that should be method choice initial treatment CSDH, even cases neomembranes. Craniotomy carried reaccumulating membranes, which prevent reexpansion brain.