CHRONIC SUBDURAL HEMATOMAS TREATED BY BURR HOLE TREPANATION AND A SUBPERIOSTAL DRAINAGE SYSTEM
نویسندگان
چکیده
منابع مشابه
Chronic subdural hematomas treated by burr hole trepanation and a subperiostal drainage system.
OBJECTIVE Most symptomatic chronic subdural hematomas are treated by subdural drainage. However, a subperiostal (i.e., extracranial) passive closed-drainage system in combination with double burr hole trepanation is used at our institution. Therefore, we wanted to analyze our results and compare them with the alternate treatment strategies reported in the current literature. METHODS In a retr...
متن کاملChronic Subdural Hematoma Treated By Two Burr-Hole Craniostomy and Closed- System Drainage in Elderly Patients
4 Objective: This is a retrospective study of a series of 45 patients older than 60s years with chronic subdural hematoma treated by two burr-hole craniostomy and closed drainage. Methods: Case records were evaluated for etiology, preoperative, postoperative and early followup neurological status, Karnofsky performance score, computerized tomography (CT) scan results, and complications. Results...
متن کاملResults of burr hole and open or closed suction drainage for chronic subdural hematomas in adults.
Chronic subdural hematomas in adults are not technically difficult to treat. They probably constitute one of the most common potentially curable lesions with which the average neurosurgeon deals. Despite this (or perhaps because of it) numerous treatments, radically differing from one another, have been advocated. Fine judgment is called for in deciding whether or not to operate in the first in...
متن کاملTwist-Drill or Burr Hole Craniostomy for Draining Chronic Subdural Hematomas: How to Choose It for Chronic Subdural Hematoma Drainage
OBJECTIVE Although twist-drill craniostomy (TDC) has a number of procedural advantages and an equivalent outcome compared to burr hole craniostomy (BHC) for the treatment of chronic subdural hematomas (CSDHs), the latter technique remains the preferred method. We analyzed symptomatic CSDHs in whom TDC at the pre-coronal suture entry point (PCSEP) was the primary method for hematoma drainage and...
متن کاملUse of Subperiosteal Drain Versus Subdural Drain in Chronic Subdural Hematomas Treated With Burr-Hole Trepanation: Study Protocol for a Randomized Controlled Trial
BACKGROUND Chronic subdural hematoma (cSDH) is one of the most frequent neurosurgical conditions affecting elderly people and is associated with substantial morbidity and mortality. The use of a subdural drain (SDD) after burr-hole trepanation for cSDH was proven to reduce recurrence and mortality at 6 months. To date in neurosurgery practice, evidence-based guidelines on whether an SDD or subp...
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ژورنال
عنوان ژورنال: Neurosurgery
سال: 2009
ISSN: 0148-396X,1524-4040
DOI: 10.1227/01.neu.0000345633.45961.bb