Abstract
Aim. The optimal treatment for chronic subdural hematoma (CSDH) is not yet well defined and research for efficient surgical solutions continues. Burr hole craniotomy (BHC) is a common treatment and twist drill craniostomy (TDC) is a less invasive alternative. A closed-system drainage with subdural expansion catheter and suction reservoir can be used to enhance the TDC procedure. Methods. We report preliminary results of a prospective study comparing BHC and TDC with suction drainage, in a series of 47 patients randomized into two treatment groups. One group of 22 patients underwent TDC with closed-system drainage and suction reservoir (14 men, 8 women, mean age 78.7 years). Another group of 24 patients underwent BHC with subdural irrigation and closed drainage (16 men, 8 women, mean age 76.3 years). Neurological status was assessed by Markwalder's Grading Scale on admission and at follow-up. All patients underwent computed tomography (CT) before surgery, within 4 days after it, and 1 and 2 months later. Results. Preoperative clinical and radiological data were similar in the two groups. Operating times were shorter in the TDC group, while drainage time was shorter in the BHC group (P
| Original language | English |
|---|---|
| Pages (from-to) | 41-46 |
| Number of pages | 6 |
| Journal | Journal of Neurosurgical Sciences |
| Volume | 49 |
| Issue number | 2 |
| Publication status | Published - Jun 2005 |
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Keywords
- Burr hole craniotomy
- Chronic subdural hematoma
- Twist drill craniostomy
ASJC Scopus subject areas
- Clinical Neurology
Cite this
Chronic subdural hematoma : Comparison of two surgical techniques. Preliminary results of a prospective randomized study. / Muzii, V. F.; Bistazzoni, S.; Zalaffi, A.; Carangelo, B.; Mariottini, A.; Palma, L.
In: Journal of Neurosurgical Sciences, Vol. 49, No. 2, 06.2005, p. 41-46.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Chronic subdural hematoma
T2 - Comparison of two surgical techniques. Preliminary results of a prospective randomized study
AU - Muzii, V. F.
AU - Bistazzoni, S.
AU - Zalaffi, A.
AU - Carangelo, B.
AU - Mariottini, A.
AU - Palma, L.
PY - 2005/6
Y1 - 2005/6
N2 - Aim. The optimal treatment for chronic subdural hematoma (CSDH) is not yet well defined and research for efficient surgical solutions continues. Burr hole craniotomy (BHC) is a common treatment and twist drill craniostomy (TDC) is a less invasive alternative. A closed-system drainage with subdural expansion catheter and suction reservoir can be used to enhance the TDC procedure. Methods. We report preliminary results of a prospective study comparing BHC and TDC with suction drainage, in a series of 47 patients randomized into two treatment groups. One group of 22 patients underwent TDC with closed-system drainage and suction reservoir (14 men, 8 women, mean age 78.7 years). Another group of 24 patients underwent BHC with subdural irrigation and closed drainage (16 men, 8 women, mean age 76.3 years). Neurological status was assessed by Markwalder's Grading Scale on admission and at follow-up. All patients underwent computed tomography (CT) before surgery, within 4 days after it, and 1 and 2 months later. Results. Preoperative clinical and radiological data were similar in the two groups. Operating times were shorter in the TDC group, while drainage time was shorter in the BHC group (P
AB - Aim. The optimal treatment for chronic subdural hematoma (CSDH) is not yet well defined and research for efficient surgical solutions continues. Burr hole craniotomy (BHC) is a common treatment and twist drill craniostomy (TDC) is a less invasive alternative. A closed-system drainage with subdural expansion catheter and suction reservoir can be used to enhance the TDC procedure. Methods. We report preliminary results of a prospective study comparing BHC and TDC with suction drainage, in a series of 47 patients randomized into two treatment groups. One group of 22 patients underwent TDC with closed-system drainage and suction reservoir (14 men, 8 women, mean age 78.7 years). Another group of 24 patients underwent BHC with subdural irrigation and closed drainage (16 men, 8 women, mean age 76.3 years). Neurological status was assessed by Markwalder's Grading Scale on admission and at follow-up. All patients underwent computed tomography (CT) before surgery, within 4 days after it, and 1 and 2 months later. Results. Preoperative clinical and radiological data were similar in the two groups. Operating times were shorter in the TDC group, while drainage time was shorter in the BHC group (P
KW - Burr hole craniotomy
KW - Chronic subdural hematoma
KW - Twist drill craniostomy
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UR - http://www.scopus.com/inward/citedby.url?scp=28544446193&partnerID=8YFLogxK
M3 - Article
C2 - 16247343
AN - SCOPUS:28544446193
VL - 49
SP - 41
EP - 46
JO - Journal of Neurosurgical Sciences
JF - Journal of Neurosurgical Sciences
SN - 0026-4881
IS - 2
ER -