Surgical Treatment of Chronic Subdural Hematoms in Adults
| Autor: | R. van Schayck, D. Seyda, R. Kalff |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
medicine.medical_specialty
business.industry media_common.quotation_subject medicine.medical_treatment medicine.disease Minor head trauma Surgery Hematoma Hemiparesis Chronic subdural hematoma medicine Effective treatment medicine.symptom business Surgical treatment Craniotomy Vigilance (psychology) media_common |
| Zdroj: | Recent Advances in Neurotraumatology ISBN: 9784431682332 |
| DOI: | 10.1007/978-4-431-68231-8_19 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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