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ASSESSMENT OF RESULTS TREATING CHRONIC SUBDURAL HEMATOMA BY SINGLE-HOLE CRANIOTOMY WITH IRRIGATION AND CLOSED DRAINAGE AT 103 MILITARY HOSPITAL
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Abstract
Aim: Evaluating of some clinical, preclinical characteristics and postoperative complications of patients with chronic subdural hematoma. Subjects and methods: a cross-sectional descriptive study of 44 patients diagnosed with chronic subdural hematoma and operated by single-hole craniotomy – irrigation and closed drainage at 103 Military Hospital from January 2022 to December 2022. Result: Mean age was 62.5. Male/Female ratio was 4.5/1. Clinical symptoms: headache 75%, motor paralysis 40.9%, epilepsy 4.5% and lethargy 18.2%. Cause of hematoma due to trauma 63.6%. Image of computed tomography of the brain: hypodense was seen by 63.6%, average thickness of hematoma was 13.6 mm and median mid-line shift was 9.2 mm. Post-operative complications: intracranial pneumothorax was 81.8%, 9.1% of patients with recurrent chronic subdural hematoma. Conclusion: Single hole craniotomy to drain chronic subdural hematoma is effective and safe for patients. Removing drainage catheter about 72 hours reduces the risk of postoperative recurrence.
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Keywords
Chronic subdural hematoma, single-hole craniotomy, recurrent chronic subdural hematoma.
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