Vash Dev, Abdul Munam Chohan, Muhammad Umer.
Outcome of Burr-Hole Craniostomy for Chronic Subdural Hematoma.
J Liaquat Uni Med Health Sci Jan ;14(02):68-72.

OBJECTIVE: Objective of this study is to determine the outcome of Burr-hole craniostomy for chronic subdural hematoma (CSDH). STUDY DESIGN: A descriptive study. SETTING: Department of Neurosurgery, Liaquat University Hospital, Jamshoro study period 15th September 2010 to 16th March 2012. METHODS: All patients of either gender presented with clinical and radiological evidence of CSDH and undergoing burr-hole craniostomy. The outcome evaluated by postoperative improvement of patients using Glasgow Coma Scale and Markwalder scale. RESULTS: Among 33 subjects, the mean age of the patients was 65.94 years with age ranges between 30 – 88 years with majority males (63.6%). 57.6% had history of trauma and 66.7% presented with complain of headache. A significant improvement in the Post-Operative Markwalder grade and Glasgow coma scale (p<0.01) noticed as compare to pre-operative Markwalder grade and Glasgow coma scale. CONCLUSION: Burr hole Craniostomy with closed drainage system under local anesthesia is a good choice of treatment. In CSDH, Burr hole Craniostomy is safe and results are comparable to those of the major series of the literature as the surgical procedure is standardized.

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