Irrigation vs. closed drainage in the treatment of chronic subdural hematoma
A number of different techniques are used to treat chronic subdural hematomas surgically. In this study, 70 chronic subdural hematomas were surgically treated and analyzed prospectively. Patients were classified according to clinical features and computed tomography images. Results of the cases that...
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| Veröffentlicht in: | Journal of clinical neuroscience 2005-04, Vol.12 (3), p.261-263 |
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| creator | Erol, Fatih S. Topsakal, Cahide Faik Ozveren, M. Kaplan, Metin Tiftikci, Murat T. |
| description | A number of different techniques are used to treat chronic subdural hematomas surgically. In this study, 70 chronic subdural hematomas were surgically treated and analyzed prospectively. Patients were classified according to clinical features and computed tomography images. Results of the cases that underwent burr-hole craniostomy–irrigation (group A;
n=35) were compared with those undergoing burr-hole craniostomy–closed system drainage (group B;
n=35). The most common etiological factor was trauma in both groups. Complete resolution in the early period was higher in group B compared to group A (60% vs. 40%). However, no difference was noted at the first month-follow-up. Recurrence rates were 17% in group A and 14% in group B. No significant difference was noted in terms of hospitalization duration or postoperative complications. In conclusion, we believe that the burr-hole craniostomy–irrigation technique is a reliable and effective method compared to burr-hole craniostomy–closed system drainage in the treatment of chronic subdural hematoma. |
| doi_str_mv | 10.1016/j.jocn.2003.09.012 |
| format | Article |
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n=35) were compared with those undergoing burr-hole craniostomy–closed system drainage (group B;
n=35). The most common etiological factor was trauma in both groups. Complete resolution in the early period was higher in group B compared to group A (60% vs. 40%). However, no difference was noted at the first month-follow-up. Recurrence rates were 17% in group A and 14% in group B. No significant difference was noted in terms of hospitalization duration or postoperative complications. In conclusion, we believe that the burr-hole craniostomy–irrigation technique is a reliable and effective method compared to burr-hole craniostomy–closed system drainage in the treatment of chronic subdural hematoma.</description><identifier>ISSN: 0967-5868</identifier><identifier>EISSN: 1532-2653</identifier><identifier>DOI: 10.1016/j.jocn.2003.09.012</identifier><identifier>PMID: 15851078</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Brain Injuries - complications ; burr-hole craniostomy ; Child ; Child, Preschool ; chronic subdural hematoma ; closed system drainage ; Craniotomy ; Drainage ; Female ; Follow-Up Studies ; Hematoma, Subdural, Chronic - complications ; Hematoma, Subdural, Chronic - etiology ; Hematoma, Subdural, Chronic - surgery ; Humans ; Infant ; Length of Stay ; Male ; Middle Aged ; Neurosurgical Procedures ; Postoperative Complications - epidemiology ; Prospective Studies ; Recurrence ; Therapeutic Irrigation ; Tomography, X-Ray Computed</subject><ispartof>Journal of clinical neuroscience, 2005-04, Vol.12 (3), p.261-263</ispartof><rights>2004 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-abbe5f3ebe6e19372d3d94394036faf41d0234b4201a9ca896c13334d09644383</citedby><cites>FETCH-LOGICAL-c420t-abbe5f3ebe6e19372d3d94394036faf41d0234b4201a9ca896c13334d09644383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jocn.2003.09.012$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15851078$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Erol, Fatih S.</creatorcontrib><creatorcontrib>Topsakal, Cahide</creatorcontrib><creatorcontrib>Faik Ozveren, M.</creatorcontrib><creatorcontrib>Kaplan, Metin</creatorcontrib><creatorcontrib>Tiftikci, Murat T.</creatorcontrib><title>Irrigation vs. closed drainage in the treatment of chronic subdural hematoma</title><title>Journal of clinical neuroscience</title><addtitle>J Clin Neurosci</addtitle><description>A number of different techniques are used to treat chronic subdural hematomas surgically. In this study, 70 chronic subdural hematomas were surgically treated and analyzed prospectively. Patients were classified according to clinical features and computed tomography images. Results of the cases that underwent burr-hole craniostomy–irrigation (group A;
n=35) were compared with those undergoing burr-hole craniostomy–closed system drainage (group B;
n=35). The most common etiological factor was trauma in both groups. Complete resolution in the early period was higher in group B compared to group A (60% vs. 40%). However, no difference was noted at the first month-follow-up. Recurrence rates were 17% in group A and 14% in group B. No significant difference was noted in terms of hospitalization duration or postoperative complications. In conclusion, we believe that the burr-hole craniostomy–irrigation technique is a reliable and effective method compared to burr-hole craniostomy–closed system drainage in the treatment of chronic subdural hematoma.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Brain Injuries - complications</subject><subject>burr-hole craniostomy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>chronic subdural hematoma</subject><subject>closed system drainage</subject><subject>Craniotomy</subject><subject>Drainage</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hematoma, Subdural, Chronic - complications</subject><subject>Hematoma, Subdural, Chronic - etiology</subject><subject>Hematoma, Subdural, Chronic - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurosurgical Procedures</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prospective Studies</subject><subject>Recurrence</subject><subject>Therapeutic Irrigation</subject><subject>Tomography, X-Ray Computed</subject><issn>0967-5868</issn><issn>1532-2653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDtPwzAUhS0EoqXwBxiQJ7aE69h5SSwI8ahUiQVmy7FvWldJXGynEv-eVK3ExnSX7xzd8xFyyyBlwIqHbbp1ekgzAJ5CnQLLzsic5TxLsiLn52QOdVEmeVVUM3IVwhYAasHhksxYXuUMympOVkvv7VpF6wa6DynVnQtoqPHKDmqN1A40bpBGjyr2OETqWqo33g1W0zA2ZvSqoxvsVXS9uiYXreoC3pzugny9vnw-vyerj7fl89Mq0SKDmKimwbzl2GCBrOZlZriZHqsF8KJVrWAGMi6aiWWq1qqqC80458JMe4TgFV-Q-2PvzrvvEUOUvQ0au04N6MYgi7KsGFT5BGZHUHsXgsdW7rztlf-RDOTBodzKg0N5cCihlpPDKXR3ah-bHs1f5CRtAh6PAE4b9xa9DNrioNFYjzpK4-x__b_Im4Iq</recordid><startdate>20050401</startdate><enddate>20050401</enddate><creator>Erol, Fatih S.</creator><creator>Topsakal, Cahide</creator><creator>Faik Ozveren, M.</creator><creator>Kaplan, Metin</creator><creator>Tiftikci, Murat T.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050401</creationdate><title>Irrigation vs. closed drainage in the treatment of chronic subdural hematoma</title><author>Erol, Fatih S. ; Topsakal, Cahide ; Faik Ozveren, M. ; Kaplan, Metin ; Tiftikci, Murat T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-abbe5f3ebe6e19372d3d94394036faf41d0234b4201a9ca896c13334d09644383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Brain Injuries - complications</topic><topic>burr-hole craniostomy</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>chronic subdural hematoma</topic><topic>closed system drainage</topic><topic>Craniotomy</topic><topic>Drainage</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hematoma, Subdural, Chronic - complications</topic><topic>Hematoma, Subdural, Chronic - etiology</topic><topic>Hematoma, Subdural, Chronic - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurosurgical Procedures</topic><topic>Postoperative Complications - epidemiology</topic><topic>Prospective Studies</topic><topic>Recurrence</topic><topic>Therapeutic Irrigation</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Erol, Fatih S.</creatorcontrib><creatorcontrib>Topsakal, Cahide</creatorcontrib><creatorcontrib>Faik Ozveren, M.</creatorcontrib><creatorcontrib>Kaplan, Metin</creatorcontrib><creatorcontrib>Tiftikci, Murat T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Erol, Fatih S.</au><au>Topsakal, Cahide</au><au>Faik Ozveren, M.</au><au>Kaplan, Metin</au><au>Tiftikci, Murat T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Irrigation vs. closed drainage in the treatment of chronic subdural hematoma</atitle><jtitle>Journal of clinical neuroscience</jtitle><addtitle>J Clin Neurosci</addtitle><date>2005-04-01</date><risdate>2005</risdate><volume>12</volume><issue>3</issue><spage>261</spage><epage>263</epage><pages>261-263</pages><issn>0967-5868</issn><eissn>1532-2653</eissn><abstract>A number of different techniques are used to treat chronic subdural hematomas surgically. In this study, 70 chronic subdural hematomas were surgically treated and analyzed prospectively. Patients were classified according to clinical features and computed tomography images. Results of the cases that underwent burr-hole craniostomy–irrigation (group A;
n=35) were compared with those undergoing burr-hole craniostomy–closed system drainage (group B;
n=35). The most common etiological factor was trauma in both groups. Complete resolution in the early period was higher in group B compared to group A (60% vs. 40%). However, no difference was noted at the first month-follow-up. Recurrence rates were 17% in group A and 14% in group B. No significant difference was noted in terms of hospitalization duration or postoperative complications. In conclusion, we believe that the burr-hole craniostomy–irrigation technique is a reliable and effective method compared to burr-hole craniostomy–closed system drainage in the treatment of chronic subdural hematoma.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>15851078</pmid><doi>10.1016/j.jocn.2003.09.012</doi><tpages>3</tpages></addata></record> |
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| subjects | Adolescent Adult Brain Injuries - complications burr-hole craniostomy Child Child, Preschool chronic subdural hematoma closed system drainage Craniotomy Drainage Female Follow-Up Studies Hematoma, Subdural, Chronic - complications Hematoma, Subdural, Chronic - etiology Hematoma, Subdural, Chronic - surgery Humans Infant Length of Stay Male Middle Aged Neurosurgical Procedures Postoperative Complications - epidemiology Prospective Studies Recurrence Therapeutic Irrigation Tomography, X-Ray Computed |
| title | Irrigation vs. closed drainage in the treatment of chronic subdural hematoma |
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