International Journal of Advances In Case Reports

A STUDY OF CLINICAL FEATURES AND SURGICAL OUTCOME OF CHRONIC SUBDURAL HAEMATOMA: A CASE SERIES STUDY

Bellara Raghavendra

bellararaghu@gmail.com

Chronic subdural haematoma, burr holes, craniotomy, outcome

Chronic subdural haematoma (CSDH) is a common condition in late stages of life. Most of the patients are subjected to minor trivial trauma which will end up with a collection of altered blood in the subdural space. This necessitates immediate surgical drainage, with the aim to reduce the mass effect on the brain to alleviate the symptoms and to reverse the condition. Objective to study the clinical profile and radiological profile of patients with chronic subdural haematoma and to study the surgical outcome of the cases. A case series study of twenty patients with chronic subdural haematoma was studied in setting of tertiary hospital in the department of Neurosurgery at Vijayanagara Institute of Medical Sciences, Ballari, Karnataka during the period of June 2014 to May 2015. Among the selected patients the socio-demographic profile, clinical profile, radiological profile and the surgical interventions undertaken and the outcome were noted. The haematoma was removed surgically by burr-holes craniotomy, irrigation and close system drainage. Appropriate descriptive statistics were used to analyse the findings and to draw the inferences. The study included 20 patients, 18 males and 2 females. The mean age was 56.4 years. Computed tomography scan, showed unilateral collection in 85% of patients and bilateral in 15%, only one case showed conning of the brain. The predominant symptons were headache (80%), Hemiparesis (50%), gait ataxia (25%) followed by seizures, visual disturbances, vomiting. Unilateral burr-hole craniotomy was performed in 85% of the patients, while bilateral was done in 15% of the cases. In the postoperative follow up 95% of the patients showed uneventful recovery. One patient developed complications in the form of postoperative recurrence. Burr holes craniotomy, irrigation and close system drainage, is effective and favor rapid regression of residual subdural collection and associated with fewer recurrences.