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2007, Number 3

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Gac Med Mex 2007; 143 (3)

Manejo del hematoma subdural crónico mediante minitrépano y sistema de drenaje sin succión, experiencia en 213 pacientes

Santos-Ditto RA, Santos-Franco JA, Pinos-GavilanesMW, Mora-Benítez H, Saavedra T, Martínez-Gonzáles V

Language: Spanish
References: 51
Page: 203-208
PDF size: 96.70 Kb.


ABSTRACT

Objectives: Controversies regarding the surgical management of chronic subdural hematoma still remain. The objective of the present study was to describe our experience with twist-drill craniostomy.
Patients and methods: Two hundred and thirteen patients were treated at the “Teodoro Maldonado Carbo” and “Alcívar” facilities between January 1992- February 2005. The surgical technique consisted of a twist-drill made under local anesthesia at the patient´s bedside. We administered the Markwalder grading scale and the Glasgow outcome scale to assess treatment results. Clinical outcome, complications and relapse were measured.
Results: The etiology was traumatic in 65% of cases. At admission, 79% scored 2 of the Markwalder grading scale. Nine percent of the patients displayed complications. The chronic subdural hematoma persisted in 8%; they were treated again with another twist-drill craniostomy with favorable results. At six months, 97.6% reached 5 in the Glasgow outcome scale.
Conclusions: Twist-drill craniostomy is a less time consuming, safe, effective, and cost-efficient method for the treatment of chronic subdural hematoma.


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