Online ISSN: 2515-8260

Chronic Subdural Hematomas: Single Versus Double Burr Hole Drainage –Results of a Comparative Study.

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Dr Abdul Queem Khan, Mohammad Akbar Shah, Dr Syed Shafiq Alam, Dr Basit Rashid Sofi, Dr Ishtiyaq Hussain, Dr Masood Ahmed Khan, Dr Nusrat Bashir

Abstract

Background:Subdural hematomas are a well-known entity in neurosurgical practice. The aetiology of subdural hematomas is commonly attributed to head injury in about 50% of the patients The recurrence rates vary from 8-26% .However, the issue of effect of number of burr holes on the recurrence of subdural hematomas has not been well settled and this study was undertaken to address this issue. Aims and objectives:To compare single versus double burr hole drainage techniques in terms of hospital stay and recurrence rate. Methods:We conducted a randomized controlled study over a period of 2 years, from April 2021 to March 2023 in the Department of Neurosurgery at Super speciality Hospital, Government Medical College Srinagar Kashmir, India. All patients with a CT diagnosis of subacute and chronic subdural hematomas were enrolled in the study, however patients with multilocular collections in the chronic subdural hematoma group were excluded in the study. Results:In this research, we did not find any significant difference in results of single or double burr-hole surgery in terms of hospital stay, or hematoma recurrence. Right-sided, left-sided and bilateral hematoma were found in 48.3%, 40.0% and 11.7% clients of this study respectively, and all patients received irrigation.

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