Open AccessManagement of chronic subdural hematoma: Burr hole versus twist drill – A prospective study
Author(s) -
Ram Kumar Goyal,
Biswaranjan Nayak,
R. P. Maharshi,
Debadulal Das Bidhar,
Sunil J. Panchal,
Harish Pathak
Publication year - 2018
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 2248-9614
DOI - 10.4103/ajns.ajns_99_16
Subject(s) - medicine , glasgow coma scale , chronic subdural hematoma , surgery , hematoma , prospective cohort study , complication , incidence (geometry) , population , anesthesia , physics , environmental health , optics
Incidence of chronic subdural hematoma (CSDH) is about 5/100,000/year in the general population and still rising. Two surgical techniques, namely, burr-hole evacuation (BHE) versus twist-drill evacuation (TDE) are commonly used to manage such patients but the preferred surgical method continues to attract debate, and the time for an evidence-based approach is now overdue. In vogue with recent trends, a minimally invasive surgical approach is considered as best; therefore, we tried to establish the hypothesis that TDE is as safe and as effective as BHE for CSDH treatment.