Efficacy of single burr hole with irrigation and sub-dural drain in the evacuation of chronic subdural hematoma
Abstract Background Chronic subdural hematoma (CSDH) remains one of the most common types of traumatic and spontaneous intracranial hematomas. The optimal method of treatment has not been definitely established. Surgical treatment options includes craniotomy, trephination, burrhole drainage and twis...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-12-01
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| Series: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| Online Access: | https://doi.org/10.1186/s41983-023-00773-w |
| _version_ | 1797388514474590208 |
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| author | Mahmoud Ahmed Gomaa Ashraf Abdellatif Osman Ahmed Hosameldin Aboelhuda |
| author_facet | Mahmoud Ahmed Gomaa Ashraf Abdellatif Osman Ahmed Hosameldin Aboelhuda |
| author_sort | Mahmoud Ahmed Gomaa |
| collection | DOAJ |
| description | Abstract Background Chronic subdural hematoma (CSDH) remains one of the most common types of traumatic and spontaneous intracranial hematomas. The optimal method of treatment has not been definitely established. Surgical treatment options includes craniotomy, trephination, burrhole drainage and twist drill perforation. This study aimed at the evaluation of the clinical and radiological outcome after the efficacy of single burr hole with irrigation and sub-dural drain in the aim of successful evacuation of CSDH. Results A total of 53 patients were included in this study, the mean age of patients was 61.53 + 13.81 years. Results of the paired t test showed that the Glasgow coma scale has significantly improved by 0.89 points (p < 0.001) and that the average motor power has significantly improved for all individuals by 0.4 points (p = 0.043). We found that older aged patients have significantly less improvements in the postoperative motor power (r = − 0.317, p = 0.02) and require longer hospital stay (r = 0.32, p = 0.0197). Conclusions A single burr hole with irrigation and leaving a subdural drain is safe procedure in managing subdural hematoma. We did not experience major adverse events related to drain insertion and efficient evacuation of collection and no obvious increase in mortality or morbidity rates. |
| first_indexed | 2024-03-08T22:40:57Z |
| format | Article |
| id | doaj.art-ff135a7f31944205b7b18df3631f32ff |
| institution | Directory Open Access Journal |
| issn | 1687-8329 |
| language | English |
| last_indexed | 2024-03-08T22:40:57Z |
| publishDate | 2023-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| spelling | doaj.art-ff135a7f31944205b7b18df3631f32ff2023-12-17T12:10:29ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292023-12-015911910.1186/s41983-023-00773-wEfficacy of single burr hole with irrigation and sub-dural drain in the evacuation of chronic subdural hematomaMahmoud Ahmed Gomaa0Ashraf Abdellatif Osman1Ahmed Hosameldin Aboelhuda2Neurosurgery, Fayoum UniversityNeurosurgery, Fayoum UniversityNeurosurgery, Fayoum UniversityAbstract Background Chronic subdural hematoma (CSDH) remains one of the most common types of traumatic and spontaneous intracranial hematomas. The optimal method of treatment has not been definitely established. Surgical treatment options includes craniotomy, trephination, burrhole drainage and twist drill perforation. This study aimed at the evaluation of the clinical and radiological outcome after the efficacy of single burr hole with irrigation and sub-dural drain in the aim of successful evacuation of CSDH. Results A total of 53 patients were included in this study, the mean age of patients was 61.53 + 13.81 years. Results of the paired t test showed that the Glasgow coma scale has significantly improved by 0.89 points (p < 0.001) and that the average motor power has significantly improved for all individuals by 0.4 points (p = 0.043). We found that older aged patients have significantly less improvements in the postoperative motor power (r = − 0.317, p = 0.02) and require longer hospital stay (r = 0.32, p = 0.0197). Conclusions A single burr hole with irrigation and leaving a subdural drain is safe procedure in managing subdural hematoma. We did not experience major adverse events related to drain insertion and efficient evacuation of collection and no obvious increase in mortality or morbidity rates.https://doi.org/10.1186/s41983-023-00773-w |
| spellingShingle | Mahmoud Ahmed Gomaa Ashraf Abdellatif Osman Ahmed Hosameldin Aboelhuda Efficacy of single burr hole with irrigation and sub-dural drain in the evacuation of chronic subdural hematoma The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| title | Efficacy of single burr hole with irrigation and sub-dural drain in the evacuation of chronic subdural hematoma |
| title_full | Efficacy of single burr hole with irrigation and sub-dural drain in the evacuation of chronic subdural hematoma |
| title_fullStr | Efficacy of single burr hole with irrigation and sub-dural drain in the evacuation of chronic subdural hematoma |
| title_full_unstemmed | Efficacy of single burr hole with irrigation and sub-dural drain in the evacuation of chronic subdural hematoma |
| title_short | Efficacy of single burr hole with irrigation and sub-dural drain in the evacuation of chronic subdural hematoma |
| title_sort | efficacy of single burr hole with irrigation and sub dural drain in the evacuation of chronic subdural hematoma |
| url | https://doi.org/10.1186/s41983-023-00773-w |
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