Chronic subdural hematoma: Wide dural window and incision of inner membrane
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2016, Vol 5, Issue 8
Abstract
Surgical treatment of chronic subdural hematoma can give dramatic recovery and the patient and his relatives see the surgeon as a ‘miracle’ worker. This euphoria can suddenly give way to anguish whenever recurrence occurs. Many methods of surgical care have arisen in the bid to avoid the despair of recurrence. The objectives of the study were to evaluate the Glasgow outcome scores and recurrence in wide dural window and incision of inner membrane in chronic subdural hematoma surgeries. It was a prospective study on patients with chronic subdural hematoma managed in our centers from 2009 to 2015. Patients were resuscitated with Advance Trauma Life Support protocols in accident and emergency. Brain Computerized tomography scan was used to make diagnosis. The hematoma was evacuated using large burr hole for liquefied types and craniotomy for those with solid components. The dural/outer membrane incision was widened and the inner membrane incised. On discharge, patients were followed up for three months. Data were collected using proforma and analyzed using Environmental Performance Index info 7 software. There were 55 patients. Males were forty six. The mean age was 56.6 years. The most common etiology was road traffic accident. The favorable outcome was 94.54%. The Glasgow Coma Scores (GCS) prior to surgery affected the outcome. There was no recurrence. The use of wide dural opening and incision of the inner membrane was not associated with any recurrence and complications were few. It is recommended as a suitable treatment option for patients with chronic subdural hematoma.
Authors and Affiliations
Nnadi Mathias O. N. | Division of Neurosurgery, Department of Surgery, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria Corresponding E-mail: nnadimon@yahoo.com, Bankole Olufemi B. | Neurosurgical Unit, Department of Surgery, Lagos University Teaching Hospital, Lagos, Nigeria, Olatosi John O. | Department of Anesthesia, Lagos University Teaching Hospital, Lagos, Nigeria
Keywords
Related Articles
- EP ID EP11920
- DOI -
- Views 292
- Downloads 10
Microflaria in Pleural Effusion - An Atypical Presentation
Filariasis is a major public health problem in many areas of tropics and subtropics of Africa Western Pacifc, and parts of America affecting over 83 countries. It is a public health problem in India. The majority of cas...
Comparison of bloody pap smear fixation by Carnoy’s and fixator spray in samples from women with abnormal uterine bleeding
Abnormal uterine bleeding is a serious problem among women of late reproductive age. Cervical cancer is one of the reasons of AUB and Pap smear is the best way to diagnose it. Blood has negative effects on Pap smear es...
Surgical therapeutic management of perforated peptic ulcer
Perforated peptic ulcer is an emergency should be readily corrected by surgical approach to reduce potential damage and the risk of mortality associated with the extension frame. The option of handling most commonly use...
The Impact of Educational Furniture of Schools on Learning and Academic Achievement of Students at Elementary Level
Accessing the summits of science and culture and further luster of every country in the scientific fields is rooted in education and training of that country, and supplying appropriate and efficient educational spaces,...
Effectiveness of Educational and Behavioral Performance Evaluation Modelsin Students' Self-efficacy and Self-regulation
This research is a semi-experimental study ( pretest-posttest and follow-up design with a nonequivalent control group) and aims to investigate the impact of two evaluation models for students’ educational performance...