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TITLE:

A RESEARCH STUDY TO ASSESS THE ASSOCIATION OF ASSOCIATED RISK FACTORS OF BURR HOLE SURGERY FOR REOCCURRENCE OF CHRONIC SUBDURAL HEMATOMA

AUTHORS:

Dr. Humera Karim, Ayesha Yousaf, Hamna Iqbal

ABSTRACT:

Background: The incidence of chronic subdural hematoma (CSDH) is mostly found in elderly patients. In daily neurosurgical operation, the most frequently found entity is a chronic subdural hematoma. It is a common type of intracranial haemorrhage. Objective: The objective of this study was to assess the prevalence of and associated factors of chronic subdural hematoma repeating after burr hole surgery. Patients and Methods: The current study was arranged at Jinnah Hospital, Lahore (October 2017 to September 2018). The patients selected for this study were identified as CSDH. On carrying out computed tomography (CT), the identification was confirmed. Through hematoma evacuation and drainage by cranial bur hole, the disease was managed. Regular computed tomography (CT) one day after surgery, one week after surgery and two months after surgery was carried out in all the patients. In order to measure the repeating rate, results of before and after CT scan were compared. The value of P was (0.05) which was taken as significant. SPSS was used for data entry and assessment. Results: The percentage of male and female was 72.64% and 27.36% respectively. The age of 78.31% of patients was under 70 years. 10.8% (12) patients were found with repetition of a chronic subdural hematoma after the bull holes craniotomy. Re-expansion of the brain after operation and age equal to 70 years were the factors responsible for this repetition. According to the results of CT Scan, CSDH as hypodense to cerebral parenchyma is dense and hyperdense were observed in 49.05%, 29.24% and 21.7% patients respectively. Conclusion: The results showed that re-expansion of the brain after operation and age were the factors responsible for the repetition of chronic subdural hematoma. Keywords: Chronic Subdural Hematoma (CSDH), Expansion, Brain, Surgery and Operation.

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