Follow-Up and Results of External Drainage Therapy of Chronic Subdural Hematomas

Härders, A.; Weigel, K.; Gilsbach, Joachim M.; Eggert, H. R.

doi:10.1007/978-3-642-67943-8_61

Cited by 13 publications

(2 citation statements)

References 9 publications

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“…1,2,3,4,5,6,7,8,9 So unanimous treatment option for CSDH has yet to be established. 10,11,2,12,13,14,6,8,15,16,17 The mechanism of making of encapsulated chronic subdural hematoma involves the proliferation of mesenchymal cells of the inner dural layer and making of an inflammatory capsule or membrane which constitute the outer membrane of haematoma. This layer is one kind of granulation tissue containing inflammatory cells, immature vessels and connective fibres.…”

Section: Introductionmentioning

confidence: 99%

Surgical Outcome of Craniotomy and Membranectomy for Organised Chronic Subdural Haematoma.

Rehman

Siddique

Khan

et al. 2019

TPMJ

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Introduction: Chronic subdural hematoma (CSDH) is a common neurosurgical condition in elderly population that a neurosurgeon comes across in his neurosurgical practice. There are more than one treatment options for this condition .In recurrent cases craniotomy and membranectomy is more suitable treatment strategy. The purpose of the study is to find out the best possible surgical treatment option for the organised chronic subdural hematoma. Study Design: Retrospectively study. Setting: Neurosurgery Department, Hayatabadad Medical Complex, Peshawar. Period: 15 March 2009 to 14 March 2017. Patients and Methods: All patients with OCSDH irrespective of their ages and gender being previously operated twice for CSDH via two burholes or single boreholes aspirations, were enrolled in the study. Those patient who refused to be enrolled into the study or those with coagulopathies or with moribund comorbid were not considered for this study as these confounders may bias the study results. The OCSDH was diagnosed on CT scan brain. Their data were stored in semi structured porforma and analysed in SPSS. Frequency and percentage were calculated for variables like age, sex, mechanism of trauma, clinical features, CT scan findings, complications and postoperative outcome. Results: Total 17 patients were operated, there were 13 men and 4 women, and the mean age was 66 years (61 ± 12.1), with a range of 28–87 years. The commonest presentation of our study population was persistent headache followed by altered consciousness. Per operatively we noted Age related brain atrophy in 8 (61.54%) patients. Three patients (23.07%) with recurrence were also having evidence of some pneumocephalous. We noted bony calcified membrane in 4 patients (23.53%). Thick membrane with straw coloured sludge and debris was found in 13 patients (76.47). The commonest post complication in our study population was postop seizure which was noted in 4(23.53%) patients. One patients who also had Basal ganglion bleed died due to status epileticus. Wound infection was was seen in one patient (7.70%). Conclusion: Craniotomy with membranectomy produce very good results in patients with organised CSDH. However the surgeon should be ready to aggressively treat the post complication like seizures which may lead to dreadful con sequences if not treated appropriately and well in time.

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Section: Introductionmentioning

confidence: 99%

Surgical Outcome of Craniotomy and Membranectomy for Organised Chronic Subdural Haematoma.

Rehman

Siddique

Khan

et al. 2019

TPMJ

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“…Eine interessante Methode zur Drainage von cSDH wurde von Takeda et al (2006) In 0,35-33% führen rezidivierende oder persistierende cSDH zu erneuten chirurgischen Interventionen (Drapkin 1991, Frati et al 2004, Hamilton et al 1993, Harders et al 1981, Kotwica und Brzezinski 1991, Kuroki et al 2001, Markwalder et al 1981, Matsumoto et al 1999, Murakami et al 2002, Nagata et al 1989, Nakaguchi et al 2000, Nakaguchi et al 2001, Nomura et al 1994, Okada et al 2002.…”

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Gibt es Parameter, die den Erfolg einer Minibohrlochtrepanation eines chronischen Subduralhämatoms vorhersagen?

Hoederath¹

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Operations and re-operations for chronic subdural haematomas during a 25-year period in a well defined population

Mellergård

Wisten

1996

Acta neurochir

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In this retrospective study the hospital records of all patients being operated on for chronic subdural haematomas (CSD) at the Neurosurgical clinic in Lund in the years 1969, 1979, 1989, and 1993 were examined. 218 patients were operated on, 25 of whom had bilateral haematomas. During the 25-year period the incidence of surgically treated CSD rose from 2 to 5.3 per 100,000 inhabitants per year. The mean age (70.5 years) and the relationship males: females (2:1) did not significantly change. The clinical condition of the patients on admission steadily improved during the period. The relative proportion of patients with known chronic alcoholism decreased over the years, but the proportion of patients suffering from other complicating diseases increased, as did the proportion of patients treated with anticoagulants. There was no mortality directly related to surgery, but if defined as deaths within one month after surgery, the overall mortality rate was 3.2%. 84.2% of the patients improved following the first operation, in a majority of cases back to the premorbid state. The relative frequency of re-operations for CSD was 12.3% and did not significantly change during the period. No pre- or peri-operative variable could be identified which could predict who of the patients was at higher risk of re-operation. Surprisingly, the data suggest that the less experienced neurosurgeons had better operative results compared with their older collegues.

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Follow-Up and Results of External Drainage Therapy of Chronic Subdural Hematomas

Cited by 13 publications

References 9 publications

Surgical Outcome of Craniotomy and Membranectomy for Organised Chronic Subdural Haematoma.

Surgical Outcome of Craniotomy and Membranectomy for Organised Chronic Subdural Haematoma.

Gibt es Parameter, die den Erfolg einer Minibohrlochtrepanation eines chronischen Subduralhämatoms vorhersagen?

Operations and re-operations for chronic subdural haematomas during a 25-year period in a well defined population

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