Summary
One hundred and eighty patients with chronic subdural hematoma were surgically treated by burr-hole craniostomy (150) or by craniotomy (30). The age ranged from 21 to 91 years, mean 64.2 years. At presentation 61.1% of the patients showed reduced vigilance, 3.9% were comatose, 31.7% had hemiparesis. Minor head trauma was detected in 49%. At discharge the thickness of the hematoma was clearly reduced. Eightythree per cent of the patients were conscious and fully orientated, hemiparesis was diminished to 6.7%. The outcome was not significatly different for the burr-hole craniostomy and for the craniotomy, but the mortality raised from 3.1% to 13.3%. We conclude that burr-hole trepanation was a save and effective treatment of chronic subdural hematoma in adults and that craniotomy should be confined to recurrent unsuccessful burr-hole trepanations, multiple cavities and solid hematomas.
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References
Markwalder TM (1981) J Neurosurg 54: 637–645
Bender MB, Christoff N (1974) Arch Neurol 31: 73–79
Suzuki J, Takaku A (1970) J Neurosurg 33, 548–553
Harders A, Eggert HR, Weigel K (1982) Neurochirurgia (Stuttg) 25: 147–152
Markwalder TM, Steinsiepe KF, Rohner M (1981) J Neurosurg 55, 390–396
Moussa A, Joshy N (1982) J Neurol Neurosurg Psychiatry 45: 1156–1158
Victoratos GC, Bligh AS (1981) Surg Neurol 15: 158–160
Dolinskas CA, Zimmermann RA, Bilaniuk LT (1979) J Trauma 19, 163–169
Galbraith JG (1982) Clin Neurosurg 29, 24–31
Robinson, RG (1984) J Neurosurg 61, 263–268
Camel M, Grubb RL (1986) J Neurosurg 65, 183–187
Firsching R, Frowein RA, Thun F (1989) Neurosurg Rev, 12 Suppl 1: 207–214
Kalff R, Braun W (1984) Zbl. Neurochir 45, 210–218
Schulz W. Saballus R, Flugel R, Harms L (1988) Zbl Neurochir 49: 280–289
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© 1993 Springer-Verlag Tokyo
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van Schayck, R., Kalff, R., Seyda, D. (1993). Surgical Treatment of Chronic Subdural Hematoms in Adults. In: Nakamura, N., Hashimoto, T., Yasue, M. (eds) Recent Advances in Neurotraumatology. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68231-8_19
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DOI: https://doi.org/10.1007/978-4-431-68231-8_19
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68233-2
Online ISBN: 978-4-431-68231-8
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