Avoidable factors that contribute to complications in the surgical treatment of chronic subdural haematoma.


:The results of a personal series of 44 consecutive patients undergoing burrhole evacuation and closed system suction drainage for chronic subdural haematoma are presented. 43 patients made a complete recovery and one was left with moderate disability. Contralateral weakness in one patient, recurrence of haematoma in another, and a new contralateral haematoma in a third were the only complications. The operative procedures responsible for the rather low complication rate in this series are described. It is concluded that to avoid complications following surgical treatment of chronic subdural haematoma, attention must be paid to the following factors: evacuation of the haematoma through two burrholes overlying the subdural collection; attention to ensure free communication through the subdural space between the two burrholes; identification and opening of additional loculations overlying the cortex; irrigation of the subdural space to ensure as complete an evacuation of the subdural collection as possible and the use of closed system suction drainage, nursing the patient flat, and intravenous hydration of the patient for three days. In addition, in patients with coagulopathy, correction of these disorders before surgery is most essential.


Acta Neurochir (Wien)


Acta neurochirurgica


Choudhury AR




Has Abstract


1994-01-01 00:00:00












  • Social media for dissemination and public engagement in neurosurgery-the example of Brainbook.

    abstract:BACKGROUND:Public engagement has become one of the most effective tools in gaining feedback and perspectives from members of the public, involving patients with decisions, and inspiring young people to carry the medical profession forwards. Brainbook is a multi-platform, social media-based resource that was created spe...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Alamri A,Rogers P,Kearns C,Doke T,Al-Habib A,Servadei F,Hutchinson PJ,Kolias AG,Uff C

    更新日期:2019-01-01 00:00:00

  • iNOS-mediated secondary inflammatory response differs between rat strains following experimental brain contusion.

    abstract:BACKGROUND:Nitric oxide is a key mediator of post-traumatic inflammation in the brain. We examined the expressions of iNOS, nNOS, and eNOS in inbred DA and PVGa rat strains where DA is susceptible to autoimmune neuroinflammation and PVGa-resistant. METHODS:Parietal contusions using a weight drop model were produced in...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Günther M,Al Nimer F,Gahm C,Piehl F,Mathiesen T

    更新日期:2012-04-01 00:00:00

  • Discovery of a new waveform for intraoperative monitoring of hemifacial spasms.

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    authors: Zheng X,Hong W,Tang Y,Ying T,Wu Z,Shang M,Feng B,Zhang W,Hua X,Zhong J,Li S

    更新日期:2012-05-01 00:00:00

  • Spontaneous regression of a parafalcine meningioma in a multiple sclerosis patient being treated with interferon beta-1a.

    abstract::Regression of meningioma after haemorrhage and the cessation of hormone treatment is well reported. However, spontaneous regression is very rarely observed. Here, we report the spontaneous regression of a parafalcine meningioma in a 56-year-old woman with multiple sclerosis, who was referred to our department after an...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Galloway L,Vakili N,Spears J

    更新日期:2017-03-01 00:00:00

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    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Formisano R,Schmidhuber-Eiler B,Saltuari L,Cigany E,Birbamer G,Gerstenbrand F

    更新日期:1991-01-01 00:00:00

  • Impact of antibiotic-impregnated catheters on the timing of cerebrospinal fluid infections in non-traumatic subarachnoid hemorrhage.

    abstract:BACKGROUND:Subarachnoid hemorrhage (SAH) has been recognized as a risk factor for ventriculostomy-related infections (VRI). In addition to the hemorrhagic cerebrospinal fluid (CSF), the potential need for prolonged catheterization may contribute to the increased CSF infection rate in this population. The use of antibio...

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    authors: McLaughlin N,St-Antoine P,Bojanowski MW

    更新日期:2012-04-01 00:00:00

  • Syringomyelia with Chiari malformation; 3 unusual cases with implications for pathogenesis.

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    pub_type: 杂志文章


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    更新日期:2004-10-01 00:00:00

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    authors: Papadopoulos SM,Chen JC,Feldenzer JA,Bucci MN,McGillicuddy JE

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    authors: Yoshino M,Kin T,Ito A,Saito T,Nakagawa D,Ino K,Kamada K,Mori H,Kunimatsu A,Nakatomi H,Oyama H,Saito N

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    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Yüceer N,Cakíroğlu K,Erdoğan A,Gökalp HZ,Bağdatoğlu C

    更新日期:1995-01-01 00:00:00

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    pub_type: 杂志文章


    authors: Mourier KL,Gelbert F,Rey A,Assouline E,George B,Reizine D,Merland JJ,Cophignon J

    更新日期:1989-01-01 00:00:00

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    authors: Valentino V,Mirri MA,Schinaia G,Dalle Ore G

    更新日期:1993-01-01 00:00:00

  • Pure pineal germinomas: analysis of gender incidence.

    abstract:OBJECTIVE:Pure pineal germinomas have been rarely reported in girls. Gender incidence and differences of pure pineal germinomas are not well known. The authors report a series of pure pineal germinoma and its gender characteristic is reviewed. METHODS AND RESULTS:Of a total of 50 germ cell tumors operated on between 1...

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    authors: Sarmiento J,Ferrer I,Pons L,Ferrer E

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  • Predicting post-operative cerebrospinal fluid (CSF) leak following endoscopic transnasal pituitary and anterior skull base surgery: a multivariate analysis.

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    journal_title:Acta neurochirurgica

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    authors: Schwerdtfeger K,Jelasic F

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  • Glomus jugulare tumours: certain clinical and radiological aspects observed following Gamma Knife radiosurgery.

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    pub_type: 历史文章,杂志文章,评审


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    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: van Venrooij GE,Boone RM,van der Gon JJ

    更新日期:1979-01-01 00:00:00

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    pub_type: 杂志文章


    authors: Iacono RP,Lonser RR,Yamada S

    更新日期:1994-01-01 00:00:00