title: [Late results of surgical treatment of chronic subdural hematoma at the Department of Neurosurgery of the Merged District Hospital in Rzeszów 1976-1987].
abstract: Late results of the surgical treatment of chronic subdural haematomas in 117 patients after 1-13 years of follow-up are reported. Sporadic headaches were the complaint in 24% of cases, sporadic dizziness in 17.5%, and weak recent memory in 7.2%. Neurological deficit was found in 6.6% of cases. The complaints and neurological deficit present late after the operation caused no limitation of self-dependence and no help of others was necessary. EEG changes were present in 13.7% of cases late after the operation and had a decreasing tendency. The number of patients quitting work and receiving disability pension was greater than the number of those voicing complaints or showing neurological deficit. The wide range of works done by these "disabled" shows that the criteria of recognizing working disability are very imperfect. In 90 patients in whom the brain failed to expand spontaneously after haematoma evacuation 0.9% NaCl was given intrathecally and brain expansion was achieved. In this group complaints and deficits were much less frequent than in those in whom brain expansion was not aided. In the group with slower development of haematoma complaints and deficits were less frequent than in those with haematoma developing before one month after trauma.
authors.affiliation: Oddziału Neurochirurgii Szpitala Wojewódzkiego Nr 2, Rzeszowie.
authors.forename: A
authors.initials: A
authors.lastname: Sklepowicz
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004185:Disability Evaluation; D004244:Dizziness / Q000209:etiology*; D006261:Headache / Q000209:etiology*; D006408:Hematoma, Subdural / Q000534:rehabilitation / Q000601:surgery*; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012050:Rehabilitation, Vocational; D013997:Time Factors
vernacular_title: Odległe wyniki operacyjnego leczenia przewlekłych krwiaków podtwardówkowych w materiale Oddziału Neurochirurgii Wojewodzkiego Szpitala Zespolonego w Rzeszowie w latach 1976-1987.