ABSTRACT

Objective: This study was conducted to study the clinical features and post-operative outcome of single burr-hole evacuation with subdural drain in chronic subdural hematoma. Patients & Methods: It's a clinical retrospective study that includes surgical management of 40 patients harboring chronic subdural hematoma and the effect of single burr hole with subdural drain on the outcomes starting from April 2010 to March 2012 at department of neurosurgery, Qena University Hospital, South Valley University and Assiut University Hospital. Surgery was performed for all patients by using single burr hole with placement of subdural drain. Patients were followed for one month after surgery. Glasgow outcome scale was used to assess the patients on follow up. All the statistical data processing, tables and graphs were conducted by the (SPSS statistical data package for Microsoft Windows). Results: forty patients of chronic subdural hematoma were included in this study; thirty four patients (85%) were males while six patients (15%) were females. The age range was 33-85 years. Fall was the predominant etiological factor 50%. Thirty seven (92.5%) patients presented with hemiparesis, twenty five (62.5%) with headache, thirteen (32.5%) with urinary incontinence and eight (20%) with behavior changes. On discharge, according to Glasgow outcome scale, twenty five (62.5%) patients with Gv and fifteen (37.5%) with Grade vi.  There was no mortality. Two weeks post-operative all the patients were found to have Gv. One month post-operative follow up CT brain showed complete resolution of the hematoma. 

Conclusion: this study showed that chronic subdural hematoma is common in male and elderly population. Most of the patient present with headache and hemiparesis. Single burr-hole evacuation with subdural drain has excellent outcome with no complications.

Key words : Subdural hematoma