[Surgical management of chronic subdural hematoma].
OBJECTIVE
To report the experience of surgical treatment of chronic subdural hematoma (CSDH).


METHODS
The clinical features, radiological findings, operative techniques and outcome of 156 patients with CSDH were analyzed retrospectively.


RESULTS
All the patients (156) were initially treated by burr hole craniostomy with closed-system drainage, and 10 out of the 156 patients were reoperated by larger craniotomy. Of all the patients, 143 (91.7%) were cured, 8 (5.1%) had recurrence, 3 (1.9%) got hemiparalysis, and 2 (1.3%) died due to other diseases.


CONCLUSIONS
Burr hole craniostomy with closed-system drainage is effective for the initial treatment of CSDH. Craniotomy should be carried out only in patients with accumulating hematomas.
Liu
Zhi-xiong
ZX
Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha 410008, China.
Jiang
Wei-xi
WX
Ding
Xi-ping
XP
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003399:Craniotomy / Q000379:methods; D005260:Female; D020200:Hematoma, Subdural, Chronic / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies