A safe and effective method for treatment of chronic subdural haematoma

Can J Neurol Sci. 2007 Feb;34(1):84-7. doi: 10.1017/s0317167100005849.

Abstract

Objective: 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.

Materials and 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.

Results: 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.

Conclusions: 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.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • 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