The number of burr holes and use of a drain do not interfere with surgical results of chronic subdural hematomas

ABSTRACT Burr hole evacuation has been the most frequently-used procedure for the treatment of chronic subdural hematomas (CSDH). Objective: To evaluate whether the use of a drain and/or the number of burr holes for treatment of CSDH modifies the rates of recurrence and complications. Methods: A r...

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Main Authors: Lindolfo Carlos Heringer, Ulysses de Oliveira Sousa, Matheus Fernandes de Oliveira, Aline Silva Nunes, Katiusa de Abreu Alves, Maria Luiza Zancanaro, Ricardo Vieira Botelho
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO)
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017001100809&lng=en&tlng=en
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author Lindolfo Carlos Heringer
Ulysses de Oliveira Sousa
Matheus Fernandes de Oliveira
Aline Silva Nunes
Katiusa de Abreu Alves
Maria Luiza Zancanaro
Ricardo Vieira Botelho
author_facet Lindolfo Carlos Heringer
Ulysses de Oliveira Sousa
Matheus Fernandes de Oliveira
Aline Silva Nunes
Katiusa de Abreu Alves
Maria Luiza Zancanaro
Ricardo Vieira Botelho
author_sort Lindolfo Carlos Heringer
collection DOAJ
description ABSTRACT Burr hole evacuation has been the most frequently-used procedure for the treatment of chronic subdural hematomas (CSDH). Objective: To evaluate whether the use of a drain and/or the number of burr holes for treatment of CSDH modifies the rates of recurrence and complications. Methods: A retrospective review of 142 patients operated on because of CSDH, between 2006 and 2015, analyzing recurrence and complications of the use of one or two burr holes with or without the use of a drain. Results: Thirty-seven patients had bilateral CSDH (26%) and 105 (73.9%) patients had unilateral CSDH. Twenty-two (59.4%) patients were given a drain and 15 (40.6%) were not. A total number of recurrences occurred in 22 (15.5%) patients and the total number of complications was in six (4.2%) patients. Mean follow-up time was 7.67 months. Conclusions: The number of burr holes and the use of the drain did not alter the rates of recurrence and complications in the treatment of CSDH.
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spelling doaj.art-88638f235f4541eaa96f75dadbba5a0f2022-12-22T02:55:46ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-4227751180981210.1590/0004-282x20170136S0004-282X2017001100809The number of burr holes and use of a drain do not interfere with surgical results of chronic subdural hematomasLindolfo Carlos HeringerUlysses de Oliveira SousaMatheus Fernandes de OliveiraAline Silva NunesKatiusa de Abreu AlvesMaria Luiza ZancanaroRicardo Vieira BotelhoABSTRACT Burr hole evacuation has been the most frequently-used procedure for the treatment of chronic subdural hematomas (CSDH). Objective: To evaluate whether the use of a drain and/or the number of burr holes for treatment of CSDH modifies the rates of recurrence and complications. Methods: A retrospective review of 142 patients operated on because of CSDH, between 2006 and 2015, analyzing recurrence and complications of the use of one or two burr holes with or without the use of a drain. Results: Thirty-seven patients had bilateral CSDH (26%) and 105 (73.9%) patients had unilateral CSDH. Twenty-two (59.4%) patients were given a drain and 15 (40.6%) were not. A total number of recurrences occurred in 22 (15.5%) patients and the total number of complications was in six (4.2%) patients. Mean follow-up time was 7.67 months. Conclusions: The number of burr holes and the use of the drain did not alter the rates of recurrence and complications in the treatment of CSDH.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017001100809&lng=en&tlng=enhematoma, subduralrecurrencetrephining
spellingShingle Lindolfo Carlos Heringer
Ulysses de Oliveira Sousa
Matheus Fernandes de Oliveira
Aline Silva Nunes
Katiusa de Abreu Alves
Maria Luiza Zancanaro
Ricardo Vieira Botelho
The number of burr holes and use of a drain do not interfere with surgical results of chronic subdural hematomas
Arquivos de Neuro-Psiquiatria
hematoma, subdural
recurrence
trephining
title The number of burr holes and use of a drain do not interfere with surgical results of chronic subdural hematomas
title_full The number of burr holes and use of a drain do not interfere with surgical results of chronic subdural hematomas
title_fullStr The number of burr holes and use of a drain do not interfere with surgical results of chronic subdural hematomas
title_full_unstemmed The number of burr holes and use of a drain do not interfere with surgical results of chronic subdural hematomas
title_short The number of burr holes and use of a drain do not interfere with surgical results of chronic subdural hematomas
title_sort number of burr holes and use of a drain do not interfere with surgical results of chronic subdural hematomas
topic hematoma, subdural
recurrence
trephining
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017001100809&lng=en&tlng=en
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