Drains result in greater reduction of subdural width and midline shift in burr hole evacuation of chronic subdural haematoma.

ABSTRACT:

Background

Drain insertion following chronic subdural haematoma (CSDH) evacuation reduces recurrence and improves outcomes. The mechanism of this improvement is uncertain. We assessed whether drains result in improved postoperative imaging, and which radiological factors are associated with recurrence and functional outcome.

Methods

A multi-centre, prospective cohort study of CSDH patients was performed between May 2013 and January 2014. Patients aged > 16 years undergoing burr hole evacuation of primary CSDH with pre- and postoperative imaging were included in this subgroup analysis. Baseline and clinical details were collected. Pre- and postoperative maximal subdural width and midline shift (MLS) along with clot density were recorded. Primary outcomes comprised mRS at disc

SUBMITTER: Glancz LJ 

PROVIDER: S-EPMC7235065 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature