Aim: To compare two most common operative procedures used in patients with chronic subdural hematomas Twist drill craniostomy and Burr Hole Craniostomy. Material and Methods: The study was a prospective randomized controlled trial on patients with chronic subdural hematomas. Results: Both procedures are comparable with respect to outcome but surgical duration is statistically higher in Burr Hol...

Chronic subdural hematoma (CSDH) is one of the major comorbidities in elderly resulting in disability and death. Early recognition of CSDH is important for early management. However, manifestations of CSDH are nonspecific and subtle. Therefore, identification of risk factors of CSDH can offer clinical follow-up strategies for patients after episodes of head injury. The purpose of the study aime...

OBJECTIVE Burr-hole irrigation and burr-hole drainage without irrigation are the most popular methods for treatment of chronic subdural haematoma. It is not well known if irrigation is necessary or which method has a higher recurrence rate. We compared the recurrence rates of those two methods. MATERIALS AND METHODS Forty-two patients were treated by burr-hole irrigation (irrigation group), w...

Intracerebral haemorrhages occurring after removal of chronic subdural haematoma have been reported as a rare but nearly uniformly devastating postoperative occurrence with incidence ranges between 0,7 and 5%. The absence of a particular attention paid to such complication in literature prompted us to present this report adding our personal experience to the cases already described in the liter...

INTRODUCTION Catatonia is a common presentation to psychiatric services in developing countries. Medical causes of catatonia are common and often missed. Identifying causes for catatonia is important not only to guide proper management but to determine prognostic outcomes CASE PRESENTATION We report a case of a 20-year-old male who presented with catatonia. Subsequent investigations revealed ...

Hematogenous dissemination from a localized infection to a previous existing subdural hematoma is an extremely rare cause of subdural empyema which is termed infected subdural hematoma. We reported a 5-month-old male infant suffered from infected subdural hematoma by Escherichia coli (E. coli). In this patient, urinary tract infection was the most favorable origin from which seed the organism t...

The protein S-100B is a biomarker increasingly used within neurosurgery and neurointensive care. As a relatively sensitive, yet unspecific, indicator of CNS pathology, potential sources of error must be clearly understood when interpreting serum S-100B levels. This case report studied the course of a 46-year-old gentleman with a chronic subdural hemorrhage, serum S-100B levels of 22 μg/l, and a...

Background  The aim of this study was to evaluate the value of planned control postoperative brain computed tomography (CT) scan performed 4 to 6 weeks after the evacuation of chronic subdural hematoma. Materials and Methods  This retrospective study examined 202 patients who during a 2-year period from 2011 and 2012 underwent surgical treatment for chronic subdural hematoma (CSDH). Information...

Spinal chronic subdural hematoma (SCSH) is a rare pathology usually associated with trauma or hematological alterations or is due to iatrogenic causes; rarely SCSH can be spontaneous. We report a case of a 79-year-old female who underwent a surgical evacuation of a spontaneous SCSH one year after diagnosis. She presented with a severe paraparesis and showed a considerable improvement in sensory...