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Background: Surgery of chronic subdural hematoma (CSDH) is a commonpractice of neurosurgeons. CSDH is considered a pathology of the elderly andusually many co-morbidities are present. CSDH carries high risk of mortalityif not treated or not treated well. So, the minimal, safe and adequate surgicalintervention is the bases to choose specific surgical maneuver. Aim of theStudy: The efficacy of a single burr in evacuation and treatment of chronicsubdural hematoma. Methods: This study was held in Assiut university hospitals,neurosurgical department. It is a prospective randomized controlledstudy. 113 patients were enrolled in this study in the period between March2018 and June 2019. We included all cases of chronic subdural hematoma(CSDH) and subacute subdural hematoma that were evacuated with singleburr hole. Hematomas either, unilateral or bilateral were included. Septatedhematomas were excluded. Patients’ clinical characteristics as age, sex, clinicalpresentation, co-morbidities and patients outcome were recorded. Postoperativestatus as regards improvement of the neurological status, complicationsand recurrence of hematoma were recorded. Results: We had 113 patientsoperated via properly situated single burr hole in our study. 113 patients wereincluded in this study, 79 males (69.9%) and 34 females (30.1%). Age of thepatients ranges between 27 years old and 90 years old. Postoperative followup was evaluated according to Glasgow outcome score (GOS). We had 98 patientswith good recovery, 4 patients with moderate disability, 6 patients withsevere disability and 5 patients died. Complications were in form of 3 patientswith residual hematoma, 2 patients with tension pneumocephalus, 7 patientsdeveloped postoperative seizure, 5 cases developed cortical/parenchymal hematomaand 9 cases developed hematoma recurrence. Conclusion: Single,properly situated burr hole with previously described characters is an effectivetreatment option in cases of CSDH. It helps adequate, effective and saferemoval of the pathology with limited maneuver.

Efficacy of Single Burr Hole in Management of Chronic Subdural Hematoma