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Results of Burr Hole and Open or Closed Suction Drainage for Chronic Subdural Hematomas in Adults

Published online by Cambridge University Press:  18 September 2015

B.K.A. Weir
B.K.A. Weir*
Affiliation:
Division of Neurosurgery, University of Alberta
*
Division of Neurosurgery, 11th Floor, Clinical Sciences Building, The University of Alberta, Edmonton, Alberta T6G 2G3.
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Chronic subdural hematomas in adults are not technically difficult to treat. They probably constitute one of the most common potentially curable lesions with which the average neurosurgeon deals. Despite this (or perhaps because of it) numerous treatments, radically differing from one another, have been advocated. Fine judgement is called for in deciding whether or not to operate in the first instance, make a flap or one or more burr or twist drill holes, use a drain, employ suction, inflate the brain, leave the bone flap out. In a personal series of 71 chronic subdural hematomas, 46 were treated with a red rubber catheter drain through a burr hole and 23 with a closed system suction drain. The results of this series suggest that closed system suction drainage through a single burr hole is the better of the two techniques. It has important theoretical advantages and the procedure is simple and fast. The complication rate is low and patients have a shortened postoperative hospital stay.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 10 , Issue 1 , February 1983 , pp. 22 - 26
Copyright
Copyright © Canadian Neurological Sciences Federation 1983

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