Experience with a Burr-hole Craniostomy for Chronic Subdural Hematoma
R. Kaiser 1; L. Douda 1; P. Waldauf 2; L. Houšťava 1; P. Haninec 1
Authors‘ workplace: 3. LF UK a FN Královské Vinohrady, Praha Neurochirurgická klinika 1; 3. LF UK a FN Královské Vinohrady, Praha Klinika anesteziologie a resuscitace 2
Published in: Cesk Slov Neurol N 2011; 74/107(5): 556-559
Category: Short Communication
Chronic subdural haematoma is a very common disease of advanced age. Although often considered a trivial affection, its treatment in frequent recurrence may be difficult and its course may be fatal even if mini-invasive methods are used. The most-often used technique is evacuation via a burr-hole craniostomy, increasingly also via a simple twist-drill craniostomy. We present our experience of a group of 180 patients and a total of 201 symptomatic haematomas treated primarily by evacuation and irrigation via a small, burr-hole craniostomy. Drainage was employed in most of the cases. Risk of recurrence of haematoma led to 14.9% of the cases being re-operated. Mortality was low: 0.5% of the patients died soon after the operation. The risk of the recurrence was higher in cases of septated hematoma.
chronic subdural hematoma – burr-hole craniostomy – craniotomy
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LabelsPaediatric neurology Neurosurgery Neurology
Article was published in
Czech and Slovak Neurology and Neurosurgery
2011 Issue 5
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