Experience with a Burr-hole Craniostomy for Chronic Subdural Hematoma

Authors: 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.

Key words:
chronic subdural hematoma – burr-hole craniostomy – craniotomy


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Paediatric neurology Neurosurgery Neurology

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