Outcome of Chronic Subdural Hematoma Patients Treated by two Burr Holes Method

BACKGROUND:Chronic subdural hematoma is one of the most common clinical entities in neurosurgical practice especially in elderly. This trial was conducted to study the clinical features and post-operative outcome of two burr-hole evacuation in chronic subdural hematoma. METHODOLOGY:This descriptive study was conducted at Department of Neurosurgery, Hayatabad Medical Complex, Peshawar, from 1st February 2008 to 30th January 2010. Chronic subdural hematoma was diagnosed on CT scan of brain. Surgical technique used was two burr hole aspiration. Patients were followed for one month after surgery. Glasgow outcome scale was used to assess the patients on follow up. RESULTS:Sixty patients of chronic subdural hematoma were included in this study; 48 males and 12 females. The age range was 30-88 years. Fall was the predominant etiological factor. Forty (66.67%) patients presented with hemiparesis, 38(63.3%) with headache, 30(50%) urinary incontinence and 25(41.67%) with behavior changes. On discharge, 52(86.6%) patients showed excellent outcome. Mortality rate was 6.6%.CONCLUSION:Chronic subdural hematoma is common in male and elderly population. Most of the patient present with hemiparesis, headache, behavioral changes and urinary incontinence. Two burr-hole evacuation has excellent outcome with minimal complications.