Subdural open drains as an effective and low-cost modality for the treatment of chronic subdural hematomas.

Autor: Morales-Gómez JA; Neurosurgery and Neuroendovascular Therapy Department, 'Dr. José Eleuterio González' University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México., Garcia-Estrada E; Neurosurgery and Neuroendovascular Therapy Department, 'Dr. José Eleuterio González' University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México., Garza-Báez A; Neuroradiology Division, University Center for Diagnostic Imaging, 'Dr. José Eleuterio González' University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México., Mercado-Flores M; Neuroradiology Division, University Center for Diagnostic Imaging, 'Dr. José Eleuterio González' University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México., de León AM; Neurosurgery and Neuroendovascular Therapy Department, 'Dr. José Eleuterio González' University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México.
Jazyk: angličtina
Zdroj: British journal of neurosurgery [Br J Neurosurg] 2023 Oct; Vol. 37 (5), pp. 1078-1081. Date of Electronic Publication: 2020 Dec 16.
DOI: 10.1080/02688697.2020.1858024
Abstrakt: Purpose: We present a series that describes the presenting features and clinical outcomes in patients with CSDH treated with a standardised technique and an open-drain placement.
Methods: We reviewed the medical records of 155 consecutive patients at a single centre who underwent CSDH evacuation by placing burr holes, accompanied by intraoperative irrigation and a subdural Penrose drain between 2014 and 2018.
Results: The mean age was 65.9 years, 81.9% were males. The most common clinical characteristics were an altered mental state (21.9%) and headache (12.9%). It was necessary to perform a second surgical intervention due to the evidence in the postoperative tomography of a residual hematoma in 10.3% of the cases; there were 2 cases of recurrence in 6 months (1.3%). Pneumonia (6.5%) and seizures (5.8%) were the most frequent medical complications. Intracranial infections accounted for 1.9%, and the mortality rate was 6.4% of cases.
Conclusions: We provided our experience with a low-cost and less-commonly used technique in the management of CSDH. This technique showed similar recurrence, mortality and intracranial infection rates to those reported in the literature for closed drainage systems. Additional studies will be required to assess this technique.
Databáze: MEDLINE
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