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Page 70
allied
academies
Volume 2
June 11-13, 2018 | London, UK
Neurology and Neuroscience
6
th
International Conference on
Chronic subdural haematoma: Case series of operated patients from a tertiary care center
Prashant Kumar, Viraat Harsh, Hemant Alda, Chandra B Sahay
and
Anil Kumar
Rajendra Institute of Medical Sciences, India
Objective:
In this article we attempt to highlight the
clinical, epidemiological profile and surgical outcomes of
chronic subdural haematoma in our institute, Rajendra
Institute of Medical Sciences, Ranchi, Jharkhand.
Materials and Methods:
A retrospective review of data
obtained from patients admitted in the Department of
Neurosurgery of our institute with CT diagnosis of CSDH
and operated between 1st January 2015 to 30th August
2017 was done and pre-op, post-op data analyzed. Burr
hole craniotomy was the operative technique of choice.
For all patients two burr holes were done on the side
of lesion and minivacuum drain was applied for 2 days.
Results:
Of 320 patients operated in the study duration,
253 (79.07%) were male and male to female ratio was 4:1.
251(78.43%) patients were >50 years old. Mean age was
found to be 59 with range from 4 years to 98 years. Clear
history of trauma was found in 246(76.88%) patients. In
those presenting with a history of trauma, mean duration of
presentationaftertraumawas44days.Mostcommonfeatures
of presentation were headache(86%), altered consciousness
(54%) and weakness(56%). 28(8.75%) patients had bilateral
CSDH. Reoperation was required in 27(8.43%)patients.
Average presentation with symptoms was after 3 days after
the first operation. 9 patients had to be operated thrice.
Conclusion:
CSDH is a mainly a disease of elderly
(>50 years). Any adult patient presenting with
headache, dementia and focal neurological deficit
should be suspected of and investigated for CSDH.
e:
prk3396@gmail.com