Clinical characteristics and prevention of postoperative complications for chronic subdural hematomas

Abstract

Objective To explore the clinical characteristics and prevention of postoperation in chronic subdural hematomas(CSDH). Methods The clinical data of 82 patients with CSDH were anlyzed retrospectively. All cases were treated by surgery, including craniopuncture, skull boreing, bone flap of skull and Amiculumsectomy. Results Of all pa-tients, 79 recovered well, 2 died, 1 was mildly disabled. The complication of postoperative was: pneumocephalus in six eases, eerebrospinal fluid fistulae in four cases, intraeranio - hypotensive headache in two cases, hematoma recidivation in three cases, epilepsy episode in one case. The two died cases been due to large size brain embolism and infection in lung complicated heart failure. Conclusions The most CSDH are related to little head injury. Main clinical manifestation is in-creased intracranial pressure and consciousness disturbance. The diagnosis can been acquired rapidly and smoothly by CT and MRI. 68 patients recoved well through bore drainading and cranipeuncture. 14 cases (including 3 cases recidivatel) with amieulum thicker, calcification, multifocal demarcation or hematoma recidivation are performed through bone flap of skull. Including evacuative of hematoma and amiculmsectomy. Key words: Chronic subdural hematoma; Bore drainage; Amiculumsectomy; Complication