31. RESULTS OF SURGICAL TREATMENT OF BILATERAL CHRONIC SUBDURAL HEMATOMA AT THAI NGUYEN CENTRAL HOSPITAL
Main Article Content
Abstract
Objective: Evaluate the results of surgical treatment of bilateral chronic subdural hematoma at Thai Nguyen Central Hospital.
Subjects and methods: A cross-sectional descriptive study of 40 patients was diagnosed with bilateral chronic subdural hematoma who were operated burr hole craniostomy, irrigation and drainage between 01/2022 and 01/2024 at Thai Nguyen Central Hospital.
Results: In 40 cases of bilateral chronic subdural hematoma, there were 30 males and 10 females. The average age of the study group was 69.45 ± 14.33 years old, 75% of males. Early improvement in clinical symptoms (24 - 48 hours after surgery) accounted for 87.5%. Postoperative complications were acute epidural hematoma (7.5%), acute subdural hematoma (7.5%. The average length of hospital stay was 11.85 days. Upon discharge, 97.5% of patients had good consciousness and good motor recovery (85%). The recurrence rate was 12.5%, the mortality rate was 0%. Re-examination according to GOS scale, good results 92.5%, and mild sequelae were 7.5%, the patient’s general clinical condition gradually improved, with statistical significance (p<0,05).
Conclusion: Surgical treament of bilateral subdural hematoma at Thai Nguyen Central Hospital has given good results. The method of 01-hole craniostomy, irrigation and drainage is a safe and effective surgery, should be maintained and widely applied.
Article Details
Keywords
Chronic subdural hematoma, chronic hematoma, burr hole craniostomy, BCSDH
References
[2] Bhuyan M, Boruah M. Bilateral chronic subdural hematoma – Clinical presentation, risk factors, management and outcome: A single centre experience from north-eastern india. International of Scientific research, 2022, 11 (10): 44 - 46.
[3] Wu L, Zhu B, Ou Y, Yu X, Guo X, Liu W. Risk factors for contralateral progression after unilateral burr-hole evacuation of bilateral chronic subdural hematoma. Research square, 2022, 1-16.
[4] Agawa Y, Mineharu Y, Tani S, Adachi H, Imamura H, Sakai N. Bilateral chronic subdural hematoma is associated with eapid progression and poor clinical outcome. Neurologia medico-chirurgica, 2016, (56): 198-203.
[5] Nguyễn Ngọc Đại. Đánh giá kết quả điều trị phẫu thuật máu tụ dưới màng cứng mạn tính tại Bệnh viện đa khoa Xanh Pôn. Luận văn thạc sỹ y học, Trường đại học y Hà Nội, 2022.
[6] Kaushal Y, Gaurav J, Krishna Govind L, Tarun Kumar G, Pratik Bipinbhai P, Suresh K. Bilateral chronic subdural hematoma: Clinical presentation, outcome and review literature: A single centre experience from India. Romanian Neurosurgery, 2022, 36(1):43-48.
[7] Tsai TH, Lieu AS, Hwang SL, Huang TY, Hwang YF. A comparative study of the patients with bilateral or unilateral chronic subdural hematoma: precipitating factors and postoperative outcomes. J Trauma, 2010, 68(3):571-575.
[8] Zhuang Y, Jiang M, Zhou J, Liu J, Fang Z, Chen Z. Surgical treatment of bilateral chronic subdural hematoma. Computational Intelligence and Neuroscience, 2022, (2022):1-5.