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Chronic subdural haematomas treated by enlarged burr-hole craniotomy and closed system drainage retrospective study of 120 patients

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Summary

In a retrospective study 143 chronic subdural haematomas in 120 patients were analysed. 64% of patients were 60 years or older. All haematomas were operated on by slightly enlarged burr-hole craniotomy and closed system drainage for three days postoperatively.

A history of trauma was present in 63%. Most frequent symptoms in the older patients were mental changes and impaired consciousness.

Postoperative mortality (within one month after surgery) was 4%. After a follow-up period of up to 2.5 years after surgery, 69% were neurologically normal, 20% had only minor complaints or slight deficits. Postoperative CT scans showed a gradual re-expansion of the compressed brain during the 2–3 weeks following haematoma removal.

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  1. H. -P. Richter, H. J. Klein & M. Schäfer

    Present address: Department of Neurosurgery, University of Ulm, District Hospital Günzburg, Federal Republic of Germany

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    1. H. -P. Richter
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    2. H. J. Klein
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    3. M. Schäfer
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    Richter, H.P., Klein, H.J. & Schäfer, M. Chronic subdural haematomas treated by enlarged burr-hole craniotomy and closed system drainage retrospective study of 120 patients. Acta neurochir 71, 179–188 (1984). https://doi.org/10.1007/BF01401313

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