A safe and effective method for treatment of chronic subdural haematoma

• Published in: Canadian journal of neurological sciences Vol. 34; no. 1; p. 84
• Main Authors: Gurelik, Mustafa, Aslan, Adem, Gurelik, Bilge, Ozum, Unal, Karadag, Ozen, Kars, H Zafer
• Format: Journal Article
• Language: English
• Published: England 01.02.2007
• Subjects: Age Distribution; Craniotomy - methods; Craniotomy - statistics & numerical data; Craniotomy - trends; Female; Hematoma, Subdural, Chronic - physiopathology; Hematoma, Subdural, Chronic - prevention & control; Hematoma, Subdural, Chronic - surgery; Humans; Male; Middle Aged; Monitoring, Physiologic - standards; Postoperative Complications - etiology; Postoperative Complications - physiopathology; Postoperative Complications - prevention & control; Prospective Studies; Secondary Prevention; Sex Distribution; Skull - anatomy & histology; Skull - surgery; Subdural Space - physiopathology; Subdural Space - surgery; Suction - instrumentation; Suction - methods; Suction - statistics & numerical data; Therapeutic Irrigation - instrumentation; Therapeutic Irrigation - methods; Therapeutic Irrigation - statistics & numerical data; Tomography, X-Ray Computed
• ISSN: 0317-1671
• DOI: 10.1017/s0317167100005849

Burr-hole irrigation and burr-hole drainage without irrigation are the most popular methods for treatment of chronic subdural haematoma. It is not well known if irrigation is necessary or which method has a higher recurrence rate. We compared the recurrence rates of those two methods. Forty-two patients were treated by burr-hole irrigation (irrigation group), whereas 38 patients were treated by burr-hole drainage (drainage group). Recurrence rate and its relation with sex, age, haematoma localization and aetiology were investigated in both groups. There was no significant difference between recurrence rates of the two groups. There was also no correlation between recurrence rate and age, sex, haematoma localization, or aetiology. There was no significant difference between recurrence rates of the two groups. Since the burr-hole drainage method is simpler to carry out, its use may be preferable.