Results of Burr Hole and Open or Closed Suction Drainage for Chronic Subdural Hematomas in Adults

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Results of burr hole and open or closed suction drainage for chronic subdural hematomas in adults.

Chronic subdural hematomas in adults are not technically difficult to treat. They probably constitute one of the most common potentially curable lesions with which the average neurosurgeon deals. Despite this (or perhaps because of it) numerous treatments, radically differing from one another, have been advocated. Fine judgment is called for in deciding whether or not to operate in the first in...

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Twist-Drill or Burr Hole Craniostomy for Draining Chronic Subdural Hematomas: How to Choose It for Chronic Subdural Hematoma Drainage

OBJECTIVE Although twist-drill craniostomy (TDC) has a number of procedural advantages and an equivalent outcome compared to burr hole craniostomy (BHC) for the treatment of chronic subdural hematomas (CSDHs), the latter technique remains the preferred method. We analyzed symptomatic CSDHs in whom TDC at the pre-coronal suture entry point (PCSEP) was the primary method for hematoma drainage and...

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Chronic subdural hematomas: single or double burr hole-results of a randomized study.

AIM To analyze the analysis of recurrence rates of single versus double burr holes in patients with subacute and chronic subdural hematomas. MATERIAL AND METHODS The study was a prospective randomized controlled trial on patients with subacute and chronic subdural hematomas. Collections with membranes or septae were excluded from the study. A written consent was taken from the patient or pati...

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Management of chronic subdural haematoma: burr hole drainage, replacement with Hartmann's solution, and closed-system drainage.

Although the treatment of chronic subdural haematoma by burr hole drainage has been performed in the past with or without using a closed drainage system, the problem of intracranial air entrapment still persists and can cause a deterioration in the level of consciousness or seizures in the postoperative period. Cerebral infarction may also develop a few days after surgery because of the intracr...

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Chronic subdural hematomas treated by burr hole trepanation and a subperiostal drainage system.

OBJECTIVE Most symptomatic chronic subdural hematomas are treated by subdural drainage. However, a subperiostal (i.e., extracranial) passive closed-drainage system in combination with double burr hole trepanation is used at our institution. Therefore, we wanted to analyze our results and compare them with the alternate treatment strategies reported in the current literature. METHODS In a retr...

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ژورنال

عنوان ژورنال: Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques

سال: 1983

ISSN: 0317-1671,2057-0155

DOI: 10.1017/s0317167100044516