Volume : 8, Issue : 3, March - 2019

CHRONIC SUBDURAL HAEMORRHAGE BURR HOLE EVACUATION -A COMPARATIVE STUDY OF AWAKE CRANIOSTOMY VERSUS GENERAL ANAESTHESIA CRANIOSTOMY

S. Rajkumar. , A. R. Baskar. , P. Pallavan.

Abstract :

BACKGROND: Chronic subdural hematoma (CSDH) is one of the most common neurosurgical conditions. There is lack of uniformity in the treatment of CSDH amongst surgeons in terms of various treatment strategies. Most of the recent trials favor the use of drain to reduce recurrence rate. Craniotomy and twist drill craniostomy,Burr hole craniostomy also play a role in the management. AIM;Present study compares the advantage and disadvantages of burr hole craniostomies under local anaesthesia with awake patients and under general anaesthesia. MATERIALS AND METHODS: This study conducted in our neurosurgery department during the period of 2013-2018 in Stanley Medical College Chennai.Toal cases are 156. 86 cases of Burr hole craniostomies done in scalp block anaesthesia with awake patients categorised in to Group-A and 70 cases of chronic SDH evacuated under General anaesthesia are compared as Group-B. RESULTS: Favourable results for Group-A cases related to anaesthesia complications and post operative pain relief and zero percent recurrence rate in both the groups.