Epilepsy in chronic subdural haematoma.
Out of 130 patients operated upon for chronic subdural haematoma, 9 presented with epileptic fits before surgery. 5 patients suffered generalized, and 4 partial seizures. The early operative results were very good, and follow-up lasting for at least 3 years revealed that 7 patients were seizure free, and only two of them continued with epileptic seizures. However 7 patients, who did not suffer epilepsy before the evacuation of haematoma developed epilepsy within the first year after surgery. The overall incidence of postoperative epilepsy was 7%. The authors suggest that the capsule of the haematoma plays an important role in the incidence of epilepsy after surgical treatment of chronic subdural haematoma.
Kotwica
Z
Z
Department of Neurosurgery, Medical Academy of Lódź, Poland.
Brzeiński
J
J
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004322:Drainage; D004828:Epilepsies, Partial / Q000209:etiology*; D004834:Epilepsy, Post-Traumatic / Q000209:etiology*; D005260:Female; D005500:Follow-Up Studies; D006408:Hematoma, Subdural / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D011559:Pseudotumor Cerebri / Q000209:etiology / Q000601:surgery; D012189:Retrospective Studies; D014207:Trephining