Comparison of Management Strategies in Chronic Subdural Hematoma: A Retrospective Study

  • S Senthilkumar Madurai Medical College, Madurai, Tamil Nadu, India
  • K Rajaraajan Madurai Medical College, Madurai, Tamil Nadu, India
  • G Rajasekaran Madurai Medical College, Madurai, Tamil Nadu, India
Keywords: Burr hole, Chronic subdural hematoma, Craniotomy

Abstract

ntroduction: Chronic subdural hematoma is one of the most common diseases encountered in neurosurgical practice. Although
surgical drainage is an established treatment option for symptomatic patients, the ideal surgical approach remains controversial.
The superiority of one modality over the other remains to be established.
Aim: This study aims to compare burr hole tapping and craniotomy in the management of chronic subdural hematoma.
Materials and Methods: A retrospective analysis of 100 cases of chronic subdural hematoma admitted in our institution was
done. The type of procedure, operative duration, post-operative stay, reoperation, post-operative Glasgow coma scale, and
mortality were analyzed using Chi-square test.
Results: The ideal procedure for each patient is shown based on the analysis of various parameters and their statistical
significance is interpreted.
Conclusion: The ideal surgical option for chronic subdural hematoma has been highlighted based on the studied parameters.
The best possible benefit to the patient has been elucidated.

Author Biographies

S Senthilkumar, Madurai Medical College, Madurai, Tamil Nadu, India

Post Graduate, Department of Neurosurgery,

K Rajaraajan, Madurai Medical College, Madurai, Tamil Nadu, India

Assistant Professor, Department of Neurosurgery, 

G Rajasekaran, Madurai Medical College, Madurai, Tamil Nadu, India

Associate Professor, Department of Neurosurgery,

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Published
2018-06-15