Chronic subdural hematoma--craniotomy versus burr hole trepanation

British Journal of Neurosurgery
Yvonne MondorfJoachim M K Oertel

Abstract

The authors present a series of more than 200 surgical procedures for chronic subdural hematoma in a 5-year-period. Clinical presentation and neurosurgical treatment were regarded with a special focus on the surgical technique. Between March 2003 and July 2008, 193 patients (113 male and 80 female, mean age 72.5 yrs [range 26-97 yrs]) suffering from chronic subdural hematoma were retrospectively analyzed. One-hundred-fifty-one craniotomies and 42 burr holes were performed. Forty-two craniotomy patients (27.8%) in contrast to 6 burr hole patients (14.3%) required surgical revision. A craniectomy was performed as an ultima ratio after at least 2 prior evacuations in 3 cases. Chronic subdural hematoma is a disease of the elderly. A craniotomy seems to possess a higher rate of recurrence of the chronic subdural hematoma so that a burr hole evacuation should be preferred. Craniectomy might be a good therapeutic option in complicated recurrent chronic subdural hematomas.

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Citations

Jul 25, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Guru Dutta SatyartheeBhawani Shanker Sharma
Jan 20, 2011·Neurosurgical Review·Marc A SeifmanPeter Y K Hwang
Sep 13, 2011·Neurosurgical Review·Andrew F DucruetE Sander Connolly
Feb 1, 2011·Journal of Neurosurgery·Miguel Gelabert-González, Ramón Serramito-Garcia
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Jul 15, 2015·Experimental and Therapeutic Medicine·Tianshu LuChunli An
Nov 15, 2011·British Journal of Neurosurgery·Shawn AgiusAntoine Zrinzo
May 15, 2010·British Journal of Neurosurgery·Miguel Gelabert-Gonzalez, Ramon Serramito-García
Dec 7, 2013·Neurologia Medico-chirurgica·Giorgio Maria CalloviniVincenzo Gammone
Jan 6, 2015·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Andrew JackJ Max Findlay
Oct 4, 2016·Asian Journal of Neurosurgery·Yad R YadavJitin Bajaj
May 18, 2017·World Neurosurgery·Ronald SahyouniJefferson W Chen
Dec 16, 2017·Journal of Neurosurgery·Rouzbeh Motiei-LangroudiAjith J Thomas
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Nov 5, 2011·Journal of Korean Neurosurgical Society·Jae-Hong KimKwan-Young Song
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Nov 14, 2019·Korean Journal of Neurotrauma·Yong Woo ShimSe Young Pyo
Nov 24, 2020·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·M Maher HulouJustin F Fraser

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