A Study on Chronic Subdural Haematoma Observed in Neurosurgery, Especially in Elderly Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Chronic subdural haematoma is predominantly a disease of the elderly. The general aim of the study was to evaluate the effect of management of CSDH after burrhole evacuation with or without subgaleal drainage. Grouping of study population were divided into 2 groups such as: Group-A (Control): The first case and every alternative cases which were operated with drain and Group-B (Case): The second case and every alternative cases which were operated without drain.70 cases of CSDHs haematoma were identified in different age groups. They were diagnosed by no-contrast CT scan of head. All patients were followed until discharged from the hospital. The age ranges of both groups were from 10 to 90 years and mean age 58.71% and 56.14%. Male predominate in both groups. The most aetiology of CSDHs in both groups was head trauma. Common presenting symptoms of both groups were headache and contra lateral limb weakness. 70 patients from both group under went on surgical intervention are leading a good quality of life according to GCS, GOS, and Markwalder scale. Operative morbidity in group A have 18.18% (wound infection and neurological deterioration) and in group B was 2.9% (only neurological deterioration). Operative mortality in group A was 5.70% (death) and in group B was 2.9% (Death). Most of the death disability occurs either due to the complication of frailty or poor morbidity. The recommendation of the study was management of CSDH through burrhole evacuation without subgaleal drainage should be the method of treatment.
Authors and Affiliations
Dr. Tofael Hossain Bhuiyan, Dr. Md. Emdadul Hoque, Dr. Monirul Islam
Keywords
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- EP ID EP595779
- DOI 10.9790/0853-1603052833
- Views 66
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