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A comparative study of the treatment of chronic subdural hematoma : irrigation versus drainage procedure
Other Title(s)
دراسة مقارنة بين الغسل و النزح لمعالجة الورم الدموي المزمن تحت الجافية
Source
Journal of the Arab Board of Health Specializations
Issue
Vol. 6, Issue 4 (31 Dec. 2004), pp.383-388, 6 p.
Publisher
The Arab Board of Health Specializations
Publication Date
2004-12-31
Country of Publication
Syria
No. of Pages
6
Main Subjects
Abstract EN
Objectives : To report the experience of surgical treatment of chronic subdural hematoma and to determine the value of the most preferred surgical methods.
Methods: Fifty-eight patients with clinical and radiological (CT scan or MRI) diagnosis of chronic subdural hematoma who were treated surgically were included in a case series study conducted at the Neurosurgical Unit of the Mosul Teaching Hospital in Mosul, Iraq during the period from January 1997 to January 2004.
The patients were divided into two groups.
Group 1 included 41 patients who were treated by single (7 patients) or two burr- hole irrigationa and evacuation only (34 patients).
Group 2 included 17 patients treated by burr-hole evacuation plus closed-system drainage procedure.
Data were collected in relation to the age, clinical presentation, outcome and mortality.
Chi square test was used for statistical analysis.
Results: The mean age was 60 years.
Head trauma was noted in two-thirds of patients.
Headache and focal neurological deficits were the main clinical presentations.
Forty-five (77.5%) patients had unilateral hematoma.
Thirty-nine (95%) patients in Group 1 had complete improvement at the end of the first postoperative week.
Recurrence of the hematoma 3-6 weeks postoperatively occurred in six patients initially treated with single burr- hole evacuation.
Complications were noticed in one and mortality in two patients.
In contrast, all patients in Group 2 improved.
These differences between Group 1 and 2 were not significant.
However, within group 1, a statistically significant difference was noted regarding recurrence rate between patients who were treated by single burr-hole and those who were treated by two burr-holes (P = 0.001).
Conclusion : Two burr-hole irrigation and evacuation technique without closed-system drainage appears to be a safe, reliable, and effective surgical method of dealing with a clinically symptomatic chronic subdural hematoma.
Its results are comparable to those of drainage procedure.
To the best of our knowledge, this has not been fully addressed in the literature.
American Psychological Association (APA)
Sulayman, Ammar M.. 2004. A comparative study of the treatment of chronic subdural hematoma : irrigation versus drainage procedure. Journal of the Arab Board of Health Specializations،Vol. 6, no. 4, pp.383-388.
https://search.emarefa.net/detail/BIM-143401
Modern Language Association (MLA)
Sulayman, Ammar M.. A comparative study of the treatment of chronic subdural hematoma : irrigation versus drainage procedure. Journal of the Arab Board of Health Specializations Vol. 6, no. 4(December 2004), pp.383-388.
https://search.emarefa.net/detail/BIM-143401
American Medical Association (AMA)
Sulayman, Ammar M.. A comparative study of the treatment of chronic subdural hematoma : irrigation versus drainage procedure. Journal of the Arab Board of Health Specializations. 2004. Vol. 6, no. 4, pp.383-388.
https://search.emarefa.net/detail/BIM-143401
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 387-388
Record ID
BIM-143401