Abstract

Objective: To assess the outcomes of surgical treatment in patients of presented with chronic subdural hematoma.

Study Design: Descriptive study

Place & Duration: Study was conducted in Department of Neurosurgery, District Headquarter hospital Timergara for duration of 18 months from 1st January, 2019 to 30th June, 2020.

Methods: Fifty two patients of both genders with ages 25 to 75 years presented with chronic subdural hematoma were enrolled. After taking written consent, patients detailed demographics including age, sex and BMI were recorded. Patients were categorized according to the Markwalder grading system. CT examination was done before and after surgical treatment. Outcomes were recorded according to the Glasgow outcome scale. Data was analyzed by SPSS 24.0.

Results: There were 43 (82.69%) males and 9 (17.31%) were females.Mean age of patients was 52.46±10.74 years. Mean BMI was 25.23±2.66 kg/m2. 26 (50%) and 15 (28.85%) patients had Markwalder Grade 2 and 3. According to GOS 45 (86%) patients had favorable outcomes while 14% had unfavorable outcomes. Recurrence found in 8 (15.38%) patients. Mortality found in 3 (5.77%) patients.

Conclusion: Surgical treatment is safe and effective for chronic subdural hematoma with fewer rate of complications.

Keywords: Surgical Treatment, Chronic subdural hematoma, Glasgow outcome scale