A Study on Chronic Subdural Haematoma Observed in Neurosurgery, Especially in Elderly Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Chronic subdural haematoma is predominantly a disease of the elderly. The general aim of the study was to evaluate the effect of management of CSDH after burrhole evacuation with or without subgaleal drainage. Grouping of study population were divided into 2 groups such as: Group-A (Control): The first case and every alternative cases which were operated with drain and Group-B (Case): The second case and every alternative cases which were operated without drain.70 cases of CSDHs haematoma were identified in different age groups. They were diagnosed by no-contrast CT scan of head. All patients were followed until discharged from the hospital. The age ranges of both groups were from 10 to 90 years and mean age 58.71% and 56.14%. Male predominate in both groups. The most aetiology of CSDHs in both groups was head trauma. Common presenting symptoms of both groups were headache and contra lateral limb weakness. 70 patients from both group under went on surgical intervention are leading a good quality of life according to GCS, GOS, and Markwalder scale. Operative morbidity in group A have 18.18% (wound infection and neurological deterioration) and in group B was 2.9% (only neurological deterioration). Operative mortality in group A was 5.70% (death) and in group B was 2.9% (Death). Most of the death disability occurs either due to the complication of frailty or poor morbidity. The recommendation of the study was management of CSDH through burrhole evacuation without subgaleal drainage should be the method of treatment.
Authors and Affiliations
Dr. Tofael Hossain Bhuiyan, Dr. Md. Emdadul Hoque, Dr. Monirul Islam
Keywords
Related Articles
- EP ID EP595779
- DOI 10.9790/0853-1603052833
- Views 53
- Downloads 0
“Anaesthetic Challenges in A Case of Uncorrected „Tetralogy of Fallot‟ With Severe Preeclampsia Posted For Emergency Caesarean Section”
‘Tetralogy of Fallot’ is the most common cyanotic heart disease and without surgical correction around 50% of children with TOF die within the first few years of life and survival beyond 30 years without surgery are unco...
Study of Relationship between Plasma Homocysteine Levels and Gestationalhypertension
A case control study comprising of 111 participants with 50 cases and 61 controls was performed. A fasting sample of plasma homocysteine was obtained from all the cases and controls. Plasma homocysteine was measured usin...
Intramasseteric Cavernous Haemangioma: A Case Report.
Intramuscular haemangiomas (IMHs) of masseter muscle are extremely rare in head and neck region and often misdiagnosed as parotid tumours. We report a case of a 40 yrs old female who presented with a progressive non tend...
“Evaluation of Cardiotocography (Ctg) Monitoring For Intrapartum Foetal Surveillance and Its Correlation with Apgar Score”
.Background and objectives: in past, mother and child are considered as one unit. Today fetus is no longer considered a maternal appendage, but it has got a separate status for its care as fetus faces faces greater risk...
A Comparative Study of Surgical Management of Primary Pterygium.
To study the rate of recurrence of pterygium and compare different surgical modes of treatment for primary pterygium.