Original Articles
Surgical Evacuation of Chronic Subdural Hematoma- An Institutional Experience | |
Dr. Rajesh T.S., Dr. Surendra Mohan H.M., Dr. Prasad H.L., Dr. Ananda K., Dr. Dhanyashree, Dr. Rutvik | |
Background: A chronic subdural hematoma is among the most frequent neurosurgical conditions that neurosurgeons encounter. Chronic subdural hematomas are becoming more common with rise in population of elderly people. In this work, we have attempted to shed light on the factors that contribute to the formation of chronic subdural hematomas and the prognosis associated with them. Methods: This is a prospective study of all operated cases of unilateral CSDH (Chronic subdural hematoma) for a duration of 3 yrs. Demographic variables, CT brain imaging and clinical features were evaluated to determine the outcome and recurrence in operated cases of CSDH. Results: The study included 50 patients. There were 16 females and 24 males. The average age was 61 yrs. In eight cases, recurrence was observed. Male recurrence was 25%, but female recurrence was 12.5%. Mixed density hematomas recur more whereas Antiplatelet and anticoagulant usage had no significant association with recurrence. Conclusions: Chronic subdural hematomas can produce highly satisfying outcomes if they are managed carefully and appropriately. Mixed density or loculated hematomas are known to recur. Use of Antiplatelet and anticoagulant can hinder the surgical outcomes. Given the aging population, preoperative patient evaluation and postoperative management become crucial. |
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