Chronic subdural hematoma (CSDH) is a relatively common disease, especially in the geriatric population, frequently encountered in neurosurgical practice. Formation of the outer membrane with an interior containing hyperosmolar blood collection causes development of CSDH, and the outer membrane has abnormally permeable microcapillaries leading to accumulation of exudation from the macrocapillar...

OBJECTIVE Chronic subdural hematoma (CSDH) is a common form of extra axial hemorrhage in the elderly. A surgical procedures such as a burr hole trephination are used for the CSDH treatment. The recurrence rate of CSDH is reported to range from 2.3 to 33%. In the current study, we focused on the determination of risk factors associated with the recurrence of CSDH. METHODS We retrospectively re...

Background The History of Neurosurgery begins with the presence of human in the earth. Begins from the depths of History (reports in Bible, Greek Mythology), as a part with Surgery until the last half of the 20th Century. Archaeological discoveries of human skull’s proved the affair that the first neurosurgical action is the trepanation of skull or trephination (Burr hole in the cranial capsule...

Burr hole drainage has been widely used to treat chronic subdural hematomas (SDH), and most of them are easily treated by simple trephination and drainage. However, various complications, such as, hematoma recurrence, infection, seizure, cerebral edema, tension pneumocephalus and failure of the brain to expand due to cerebro-cranial disproportion may develop after chronic SDH drainage. Among th...

chronic subdural hematoma (csdh) is a curable entity frequently encountered by neurosurgeons. the present study was conducted to explore expert opinion and common practice in iran. besides, a review of randomized clinical trials in literature was performed. a questionnaire including six questions discussing major aspects of practice on csdh, with multiple choices was designed. a pilot study was...

OBJECTIVE In most cases, the postoperative course of a chronic subdural hematoma (CSDH) is good, but CSDHs sometimes remain after the inserted catheter is removed, and the outcomes of such remnant hematomas are unclear. As oral streptokinase-streptodornase (OSS) has anti-inflammatory and hematologic effects, we assessed the effects of OSS on remnant CSDHs through a retrospective analysis of cli...

OBJECTIVE Chronic subdural hematoma (CSDH) is common in elderly patients. So, with an increasing number of elderly people in the general population, there is a need to investigate risk factors which increase recurrence rate. In this study, factors affecting the postoperative recurrence are investigated based on the reoperative CSDH cases. METHODS Total of ninety-seven patients was enrolled in...

Deep brain stimulation (DBS) is performed by burr hole surgery. In microelectrode recording by multi-channel parallel probe, because all microelectrodes do not always fit in the burr hole, additional drilling to enlarge the hole is occasionally required, which is time consuming and more invasive. We report a stereotactic burr hole technique to avoid additional drilling, and the efficacy of this...