EFFECTIVENESS OF TWO BURR HOLE ASPIRATION FOR TREATMENT OF CHRONIC SUBURAL HEMATOMA

ABSTRACT
Objective: To determine the effectiveness of two burr hole aspiration for treatment of chronic subural hematoma.
Material and Methods: This descriptive study was conducted at Department of Neurosurgery, Naseer Teaching Hospital
Peshawar from 1st March 2014 to 28th February 2015. 140 patients were enrolled in this study. Chronic subdural hematoma
was diagnosed on CT brain all patient were operated via two bur hole aspiration. Effectiveness of the procedure
is determined by at least 3 grades improvement in Glassgow coma scale on 24th hour postoperatively.
Results: In this study mean age was 65 years with standard deviation ± 2.31. Seventy four percent patients were
male while 26% patients were female. At presentation 22% patients had Glasgow coma score range from 3-7, 67%
patients had Glasgow coma score range from 8-12 and 11% patients had Glasgow coma score range from 13-15.
Mean Glasgow coma score at presentation was 8 with standard deviation ± 1.78. While after 24 hours follow up 2%
patients had Glasgow coma score range from 3-7, 18% patients had Glasgow coma score range from 8-12 and 80%
patients had Glasgow coma score range from 13-15. Mean Glasgow coma score was 14 with standard deviation ±
0.51. Effectiveness of procedure was analyzed, in 80% patients the procedure was effective while in 20% patients the
procedure was not effective.and mortality was 3.5%
Conclusion: Chronic subdural hematoma is common in male and elderly population. Most of the patients present
with hemiparesis, headache, behavior changes and urinary incontinence. Two burr-hole evacuation has got excellent
outcome with minimal complications.
Key Word: Chronic subdural hematoma, Two burr-hole evacuation, Outcome