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Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2004 / Cilt: 38 - Sayı: 3

Results of burr holes craniostomy with closed system drainage of chronic subdural hematomas

Kronik subdural hematomların burr-hole kraniostomi ve kapalı sistem drenaj ile tedavi sonuçları

Murat MÜSLÜMAN
Halit ÇAVUŞOĞLU
Adem YILMAZ
Osman TÜRKMENOĞLU
Yüksel ŞAHİN
Yunus AYDIN
Pages
44–51
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusions: This surgical technique is easily applicaple, cost effective, has fewer complications and preferred method of treatment in cases of chronic subdural hematoma.

📌 3 Key Takeaways

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Objective & Hypothesis:Background: To present the results of the treatment of chronic subdural hematoma by burr holes and closed system drainage.
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Key Findings & Data:Methods: The data of 138 patients with chronic subdural hematoma were analyzed between January 1994 and December 2002.
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Conclusion & Impact:Conclusions: This surgical technique is easily applicaple, cost effective, has fewer complications and preferred method of treatment in cases of chronic subdural hematoma.
🔬Design:Research Article
📍Scope:2002 Verileri
⚙️Variables:Hematom · subdural · kronik

Abstract

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. Complication's 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.

Özet

Amaç: Kronik subdural hematom olgularında burr hole ve kapalı drenaj sistemi ile tedavi sonuçlarımızı sunmaktır. Gereç ve yöntem: Bu çalışma, Ocak 1994 - Aralık 2002 tarihleri arasında Şişli Etfal Hastanesi Nöroşirurji Kliniğine başvuran ve kronik subdural hematom tanısı konulup hastaneye yatırılan 138 hastanın dosyalan incelenerek gerçekleştirildi. Bulgular: Olguların 103'ü (% 74,6) erkek, 35'i (% 25,4) kadın olup ortalama yaş 58,6 (22 — 76) idi. Hastaların hepsine burr hole ve kapalı sistem drenaj uygulandı. Olguların %72 sinde kafa travması öyküsü mevcuttu, lezyonlann bilgisayarlı beyin tomografisi (BBT) görünümlerine göre 122' şi(%88.4) tek yanlı, 16'sı (%J1.6) iki yanlı olarak tespit edildi. %71 olguda hematom frontoparietal bölgede idi. Olguların nörolojik muayenelerinde Markwalder Gradeleme sistemine göre grade derecesi arttıkça prognozun kötüleştiği saptandı. Serimizde komplikasyon oranı %2.9 olup, 138 hastanın 6'sında (% 4,34) nüks görüldü. Kalıcı morbidite ve mortalite saptanmadı. Sonuç: Bu yöntem kolay uygulanabilir, komplikasyonlan az olan, düşük maliyetli ve öncelikli düşünülmesi gereken bir yöntemdir.

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Cite This Article

MÜSLÜMAN, M., ÇAVUŞOĞLU, H., YILMAZ, A., TÜRKMENOĞLU, O., ŞAHİN, Y., AYDIN, Y. (2004). Results of burr holes craniostomy with closed system drainage of chronic subdural hematomas. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 38 - Sayı: 3, 44–51. https://ajindex.com/articles/363598

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