ABSTRACT

Aim: To analyze the outcomes of surgical management in patients of chronic subdural hematoma.

Study design: Descriptive/Observational

Place and duration of study: Department of Neurosurgery, Bahawal Victoria Hospital, Bahawalpur from 1st October 2019 to 31st March 2020.

Methodology: Forty patients of both genders with ages 30 to 80 years presented with chronic subdural hematoma were included. Patients detailed medical history including age, sex andresidence were recorded. Patients with previous history of surgical management were excluded. Patients were categorized according to the Markwalder Grading System. CT scan was done before and after surgery and the discharge time. Outcomes were recorded according to the Glasgow outcome scale.

Results: There were 32(80%) male patients and 8(20%) were female patients. Six (15%) patients were ages between 30 to 45 years, 14(35%) patients had ages 46 to 60 years, 15(37.5%) patients were ages 61 to 75 years and 5 (12.5%) were ages above 75 years. Most of the patients had Markwalder Grade 2 and Grade 3 17(42.5%) and 13(32.5%) respectively. Recurrence rate was 15%. 2(5%) had excellent, 20 (50%) had good and 14 (35%) had fair and 4(10%) had poor outcome as GOS at final follow up. 2(5%) patients were died.

Conclusion: Early treatment of chronic subdural hematoma is very effective with high rate of favorable outcomes.

Keywords: Chronic subdural hematoma, Surgical management, Markwalder Grade, Outcomes, GOS