Abstract
OBJECTIVE: Objective of this study is to determine the outcome of Burr-hole craniostomy for
chronic subdural hematoma (CSDH).
STUDY DESIGN: A descriptive study.
SETTING: Department of Neurosurgery, Liaquat University Hospital, Jamshoro study period
15th September 2010 to 16th March 2012.
METHODS: All patients of either gender presented with clinical and radiological evidence of
CSDH and undergoing burr-hole craniostomy. The outcome evaluated by postoperative improvement of patients using Glasgow Coma Scale and Markwalder scale.
RESULTS: Among 33 subjects, the mean age of the patients was 65.94 years with age ranges
between 30 – 88 years with majority males (63.6%). 57.6% had history of trauma and 66.7% presented with complain of headache. A significant improvement in the Post-Operative Markwalder
grade and Glasgow coma scale (p<0.01) noticed as compare to pre-operative Markwalder grade
and Glasgow coma scale.
CONCLUSION: Burr hole Craniostomy with closed drainage system under local anesthesia is a
good choice of treatment. In CSDH, Burr hole Craniostomy is safe and results are comparable
to those of the major series of the literature as the surgical procedure is standardized.
Vash Dev, Abdul Munam Chohan, Muhammad Umer. (2015) Outcome of Burr-Hole Craniostomy for Chronic Subdural Hematoma, Journal of Liaquat University of Medical and Health Sciences, Volume-14, Issue-2.
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