Traitement chirurgical des hématomes sous-duraux chroniques en Guinée : étude de 22 cas à l’hôpital Kipe de Conakry

Bah, Abdellah; Souaré, Ibrahima Sory; Diawara, Seylan; Boubane, D. T.; Saran, Khushboo

doi:10.1016/j.neuchi.2019.03.005

Cited by 1 publication

(2 citation statements)

References 33 publications

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“…This is in contrast with another population of chronic subdural hematoma that can be found in Guinea, as previously reported by the same team, a younger population of patient with a higher rate of neglected TBI history, a shorter clinical course and obviously a more satisfactory outcome with BHC. 5 Nevertheless, we obtained an improvement of the mean MGS from 3,7 to 1.06. The mortality rate is higher than reported in other studies but is closely related to the poor pre-operative neurological status, the lack of post-operative ICU for MGS grade 4 patients and the delay we had in operating recurrent cases coming from home.…”

Section: Discussionmentioning

confidence: 72%

“…The aim of this case series is to evaluate the outcome of the bedside TDA for CSDH in these very ill patients treated in a hospital with poor medical resources and to compare it with the literature regarding more traditional treatment, including our previous report of CSDH predominantly treated by BHC in a semi-privately run hospital in the same city. 5 The results may influence whether bedside TDA may be used both safely and effectively not only as a first-line treatment for CSDH patients under extreme conditions, but also for select cases in the general population of symptomatic CSDH.…”

Section: Introductionmentioning

confidence: 99%

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Twist drill aspiration of chronic subdural hematoma at the Ignace Deen hospital of Conakry

Bah¹,

Diawara²,

Souaré³

et al. 2021

JNSK

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Bedside percutaneous twist drill aspiration (TDA) is described as a surgical method of management of Chronic subdural hematoma (CSDH) and appear to be a reasonable approach in low medical resources environment. We report the results of TDA of CSDH in a single tertiary centre in Conakry Republic of Guinea in West Africa, for the period March 2015 to October 2017. The charts and medical record of 38 cases of CSDH treated with TDA were collected retrospectively, with a mean follow-up of 84.2 days. The outcome data assessed were neurologic status evaluated by the follow-up Markwalder grading scale (MGS: 0=normal to 4=coma), recurrence, infection and mortality. The Male-Female ratio was 1.3:1. Mean age at diagnosis was 78.2+/-12 years. Traumatic brain injury (TBI) was identified as causal in 28.2% of cases studied. All patients were operated on under local anesthesia and had a postoperative drain left in place for 3 days. The mean postoperative MGS was 1.06, up from a mean preoperative MGS of 3.7. Two cases of recurrence occurred subsequent to TDA causing death and three other patients died from unknown causes during the follow-up period. No cases of post-operative infection were diagnosed during the follow-up. Our study shows that Bedside TDA appears to be a suitable alternative to burr hole craniotomies in urgent cases of CSDH in the low socio-economic setting, where a surgical theatre is not always available.

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Section: Discussionmentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%