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World Neurosurg. 2012 Jan;77(1):103-10. doi: 10.1016/j.wneu.2011.06.012.

Subdural hematomas: an analysis of 1181 Kashmiri patients.

Author information

1
Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences, Kashmir, India. nkhursh@rediffmail.com

Abstract

BACKGROUND:

We endeavored to analyze patients of subacute and chronic subdural hematomas studied in a 4-year period at the Sher-i-Kashmir Institute of Medical Sciences, Kashmir, India.

METHODS:

The study was a retrospective analysis of 1181 patients of subdural hematomas. Demographic characteristics, clinico-radiologic features, operative modalities, and outcome were studied. Acute subdural hematomas were excluded from the study.

RESULTS:

The mean age was 60.4 ± 12.4 and males outnumbered females. Chronic subdural collections were more common than subacute subdural hematomas and left side predominated. Two burr holes with closed-system drainage was used in most patients. Incidence of postoperative seizures is very low. Overall recurrence rates were low; however, multilocular hematomas had the highest incidence of recurrence. Morbidity and mortality were 7.53% and 2.96%, respectively. Preoperative neurologic grade correlated with outcome.

CONCLUSIONS:

Subdural hematomas are common in elderly males. Preoperative neurologic grade dictates the outcome. Multilocular hematomas have a higher chance of recurrence. Craniotomy should be reserved for recurrent hematomas, and there may be a scope of craniotomy for multilocular chronic subdural hematomas at the outset. Antiepileptic prophylaxis is not routinely recommended.

Comment in

PMID:
22405391
DOI:
10.1016/j.wneu.2011.06.012
[Indexed for MEDLINE]

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