Entrar/Registro  
HOME SPANISH
 
Cirugía y Cirujanos
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Cirugía y Cirujanos >Year 2010, Issue 3


Soto-Granados M
Tratamiento del hematoma subdural crónico mediante un trépano
Cir Cir 2010; 78 (3)

Language: Español
References: 22
Page: 203-208
PDF: 282.74 Kb.

[Full text - PDF]

ABSTRACT

Background: Chronic subdural hematoma (CSH) is usually a cranium encephalic trauma present in 1/100,000 cases in subjects 󉛮 years old. We undertook this study to report the experience obtained in the treatment of CSH using the technique of evacuation of the hematoma through a burr hole, irrigation and closed system drainage under local anesthesia.
Methods: We performed a retrospective and descriptive study from 1999 to 2008. Files of clinical and radiological diagnoses of adult patients with CSH were reviewed and corroborated with computed axial tomography (CAT) and who were subjected to drainage of the CSH.
Results: Seventeen patients were surgically intervened (average age: 72 years). All patients were male and there was a history of trauma in all. Three of the 17 patients had been subjected to an aggression. The average time between injury and symptom onset was 6 weeks. According to the scale of Markwalder, 65% were classified as grade I, 29% as grade II and 6% as grade III. According to CAT, most of the bruises were hypodense and unilateral. As to the effect of the mass according to the scale of Gordon-Firing, 82% were classified as grades II and III.
Conclusions: Treatment of CSH through a burr hole, irrigation and closed system drainage under local anesthesia is simple, safe and effective.


Key words: Chronic subdural hematoma, burr hole.


REFERENCES

  1. McKissock W, Richardson A, Bloom WH. Subdural haematoma: a review of 389 cases. Lancet 1960;1:1365-1369.

  2. Tagle MP, Mery FM, Torrealba MG, Del Villar PMS, Carmona VH, Campos PM, et al. Hematoma subdural crónico: una enfermedad del adulto mayor. Rev Med Chile 2003;131:177-182.

  3. Sabogal-Barrios R, Moscote-Salazar LR. Patobiología del hematoma subdural crónico. Rev Electron Biomed 2008;2:65-71.

  4. Guevara-Dondé JE. Resolución espontánea de un hematoma subdural crónico. Cir Ciruj 2000;68:23-25.

  5. Shiomi N, Hashimoto N, Tsujino H, Takahashi Y, Murakami H, Mineura K. Relationship of direction of drainage tube and recurrence in chronic subdural hematoma. No Shinkei Geka 2002;30:823-827.

  6. Santos-Ditto RA, Santos-Franco JA, Pinos-Gavilanes MW, Mora- Benítez H, Saavedra T, Martínez-Gonzáles V. Manejo del hematoma subdural crónico mediante minitrépano y sistema de drenaje sin succión, experiencia en 213 pacientes. Gac Med Mex 2007;143:203-208.

  7. Hernández-de Castro JE, Gómez-Aviña A, Gómez-Llata S, Mateos- Gómez JH. Tratamiento del hematoma subdural crónico con tres técnicas quirúrgicas, coagulación y fibrinólisis. Arch Neurocien 1997;4:289-293.

  8. Lomelí-Ramírez JJ. Tratamiento quirúrgico definitivo del hematoma subdural crónico: modificación de las técnicas quirúrgicas convencionales. Arch Neurocien 2002;7:26-30.

  9. Markwalder TH, Steinsiepe KL, Rohner M, Reincheback W. The course of chronic subdural hematoma after burr-hole craniostomy and closed system drainage. J Neurosurg 1981;55:390-396.

  10. Markwalder TM, Seiler RW. Chronic subdural hematomas: to drain or not to drain? Neurosurgery 1985;16:185-188.

  11. Prinzo H, Aboal C, Wilson E. Complicaciones intracraneanas en la cirugía del hematoma subdural crónico. Arch Inst Neurol 2006;9:91- 97.

  12. Jennet B, Snoek J, Bond MR, Brooks N. Disability after severe head injury. Observation on the use of the Glasgow outcome scale. J Neurol Neurosurg Psychiatry 1981;55:390-396.

  13. Martínez F. Presentación clínica del hematoma subdural crónico en adultos: el gran simulador. Rev Med Urug 2007;23:92-98.

  14. Lacerda-Gallardo AJ, Estenoz-Esquivel JC, Borroto-Pacheco R. Hematoma subdural crónico. Resultados quirúrgicos en 2 años de trabajo. Rev Cubana Cir 1999;38:57-61.

  15. Gureli KM, Aslan A, Garalik B, Ozum U, Karadag O, Kars HZ. A safe and effective method for treatment of chronic subdural hematoma. Can J Neurol Sci 2007;34:84-87.

  16. Mori K, Maeda M. Surgical treatment of chronic subdural hematoma in 500 consecutive cases: clinical characteristics, surgical outcome, complications, and recurrence rate. Neurol Med Chir 2001;41:371-381.

  17. Gelabart-González M, Iglesias-Pais M, García-Allut A, Martínez- Rumbo R. Chronic subdural haematoma: surgical treatment and outcome in 1000 cases. Clin Neurol Neurosurg 2005;107:223-229.

  18. Horn EM, Feiz-Erfan I, Bristol RE, Spetzler RF, Harrington TR. Bedside twist drill craniostomy for chronic subdural hematoma: a comparative study. Surg Neurol 2006;65:150-154.

  19. Hostalot-Panisello C, Carrasco-González A, Bilbao-Barandica G, Pomposo- Gaztelu I, Garibi-Undabarrena JM. Hematoma subdural crónico. Presentación y actitudes terpéuticas. Rev Neurol 2002;35:123-127.

  20. Okada Y, Akai T, Okamoto K, Iida T, Takata H, Iizuka H. A comparative study of the treatment of chronic subdural hematoma-burr hole drainage versus burr hole irrigation. Surg Neurol 2002;57:405-409.

  21. Kiymaz N, Yilmaz N, Mumcu C. Controversies in chronic subdural haematoma: continuous drainage versus one-time drainage. Med Sci Monit 2007;13:240-243.

  22. Choudhury AR. Avoidable factors that contribute to complications in the surgical treatment of chronic subdural haematoma. Acta Neurochir 1994;129:15-19.






>Journals >Cirugía y Cirujanos >Year 2010, Issue 3
 

· Journal Index 
· Links 
       
Copyright 2010