medigraphic.com
ISSN 2225-4676 (Electronic)

2011, Number 1

<< Back Next >>

Rev Cubana Neurol Neurocir 2011; 1 (1)

Utility of radical parietal membranectomy in treatment of traumatic chronic subdural hematoma in adults

Varela HA, Peñones MR, Silva AS, Pardo CG, Mosquera BG, Medrano GR

Language: Spanish
References: 23
Page: 15-20
PDF size: 135.26 Kb.


ABSTRACT

Objective: To analyze the characteristics and results of cases with chronic subdural hematoma treated with osteoplastic craneotomy and radical parietal membranectomy.
Methods: A descriptive study was carried out of cases with chronic subdural hematoma treated with osteoplastic craneotomy and radical parietal membranectomy between 2005-2010 years, in neurosurgery service of “Manuel Ascunce Domenech” Universitary Hospital of Camagüey.
Results: Seven patients treated with osteoplastic craneotomy and radical parietal membranectomy represents 5% of total treated for chronic subdural hematoma in this period. In the majority of this patients is detected a hematoma recollection, arterial hypertension was a remarkable antecedent, somnolence or mental confusion, shift of middle structures and mix densities of hematoma in cranial CT scan.
Conclusions: Osteoplastic craneotomy and radical parietal membranectomy is a surgical technique useful for the recidivate chronic subdural hematoma and first line option in cases with important calcification of capsule, acute hemorrhages in cavity or thick/tabicated membranes.


REFERENCES

  1. Tagle M P, Mery M F, Torrealba M G, Del Villar PM S, Carmona V H, Campos P M, et al. Hematoma subdural crónico: Una enfermedad del adulto mayor. Rev Méd Chile. 2003;131:177–82.

  2. Salas R. Hematoma subdural crónico. En: Salas R. Traumatismo craneoencefálico: Temas. Científico– Técnica, eds. La Habana. 2006. p. 129–41.

  3. Rocchi G, Caroli E, Salvati M, Delfini R. Membranectomy in organized chronic subdural hematoma: indications and technical notes. Surg Neurol. 2007;67:374–80.

  4. Lacerda G AJ, Estenoz E JC, Borroto P R. Hematoma subdural crónico. Resultados quirúrgicos en 2 años a de trabajo. Rev Cubana Cir. 1999;38:57–61.

  5. Gelabert GM, Iglesias PM, García AA, Martínez RR. Chronic subdural haematomas: surgical treatment and outcome in 1000 cases. Clin Neurol Neurosurg. 2005;107:223–9.

  6. Prinzo H, Aboal C, Wilson E. Complicaciones intracraneales en la cirugía del hematoma subdural crónico. Arch Inst Neurol. 2006;9:1–7.

  7. Pérez LS. Comportamiento del Hematoma Subdural Crónico 2000–2005. Trabajo Científico de Terminación de Residencia. Universidad Médica “Carlos Juan Finlay”. Camagüey. 2005.

  8. Hostalot PC, Carrasco GA, Bilbao BC, Pomposo GI, Garibi UJM. Hematoma subdural crónico. Presentación y actitudes terapéuticas. Rev Neurol. 2002;356:123–7.

  9. Ramachandran R, Hegde T. Chronic subdural haematoma– causes of morbidity and mortality. Surg Neurol. 2007;67:367–73.

  10. Martínez F, Graciela M, Panuncio A, Laza S. Revisión anatomo clínica de las meninges y espacios intracraneanos con especial referencia al hematoma subdural crónico. Rev Mex Neuroc. 2008;9:47–60.

  11. Lomeli R. Tratamiento quirúrgico definitivo del hematoma subdural crónico: modificación de las técnicas quirúrgicas convencionales. Arch Neurocien (Mex). 2002;7:26–30.

  12. Guevara DJE. Resolución espontánea de un hematoma subdural crónico. Cir Ciruj. 2000;68:23–5.

  13. Sun DFT, Boet R, Poon SW. Non–surgical primary treatment of chronic subdural haematoma: preliminary results of using dexametasone. Br J Neurosurg. 2005;19:327–33.

  14. Weigel R, Schmiedek P, Krauss KJ. Outcome of contemporary surgery for chronic subdural haematoma: evidence based review. J Neurol Neurosurg Psychiatry. 2003;74:937–43.

  15. Santos DRA, Santos FJA, Pinas GWM, Mora BH, Saavedra T, Martínez G V. Manejo del hematoma subdural crónico mediante minitrépano y sistema de drenaje sin succión, experiencia en 213 pacientes. Gac Méd Méx. 2007;143:203–8.

  16. Stanisic M, Lund J M, Mahesparon R. Treatment of chronic subdural hematoma by burr–hole craniostomy in adults: influence of some factors on postoperative recurrence. Acta Neurochir. 2005;147:1249–57.

  17. Abouzari M, Rashidi A, Rezaii J, Esfandiari K, Asadollahi M, Aleali H, et al. The role of postoperative patient posture in the recurrence of traumatic chronic subdural hematomas after burr–hole surgery. Neurosurg. 2007;61:794–7.

  18. Taussky P, Fandino J, Landolt H. Number of burr holes as independent predictor of postoperative recurrence in chronic subdural haematoma. Br J Neurosurg. 2008;22:279–82.

  19. Takeda N Sasaki K, Oikawa A, Aoki N, Hori T. A new simple therapeutic method for chronic subdural hematoma without irrigation and drainage. Acta Neurochir. 2006;148:541–6.

  20. Quebada BP, Schmidek HH. Surgical management of chronic subdural hematoma in adults. En: Schmidek and Sweet. Operative Neurosurgical Techniques. W B Saunders, eds. 2006 .p. 81–8.

  21. Kiymaz N, Yilmaz N, Mumcu C. Controversies in chronic subdural hematoma: continuous drainage versus one-time drainage. Med Sci Monit. 2007;13:CR240–3.

  22. Maarrawi J, Fakih C, Asunar Z, Samaha E. Chronic subdural haematoma: A comparative study between twist– drill craniostomy and burr–hole technique. Pan Arab J Neurosurg. 2007;11:81–4.

  23. Revuelta GR, Fernández AB, Flores OAJ. El cerebro blindado controversias en su manejo. Arch Neurocien (Mex). 2000;5:35–8.




2020     |     www.medigraphic.com