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8 - Results of burr holes craniostomy with closed system drainage of chronic subdural hematomas
Murat Müslüman, Halit çavuşoğlu, Adem Yılmaz, Osman Türkmenoğlu, Yüksel Şahin, Yunus Aydın
Background: To present the results of the treatment of chronic subdural hematoma by burr holes and closed system drainage.
Methods: The data of 138 patients with chronic subdural hematoma were analyzed between January 1994 and December 2002.
Results: 103 patients (74,6 %) were male and the remaining 35 (25,4 %) female. The average age was 58,6 years (range; 22 to 76). Burr - holes and closed - system drainage were performed in all patients. 99 of all patients (%72) had history of head trauma. According to computed tomography appearances, lesions in 122 patients (%88.4) were located at the one side, in 16 patients (% 11.6) both sides. Hematomas located in the frontoparietal subdural space in % 71 of all cases. According to Markwalder Grading system, negative correlation was established between degree of grade and prognosis. Complications rate was % 2.9 in our series. There were recurrens in 6 of 138 patients (4,34 %). Permenant morbidity and mortality were not seen.
Conclusions: This surgical technique is easily applicaple, cost effective, has fewer complications and preferred method of treatment in cases of chronic subdural hematoma.
Keywords: Chronic Subdural Hematoma, Trauma, Closed System Drainage
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