CLINICAL PROFILE, COMPLICATION AND RECURRENCE IN CHRONIC SUBDURAL HAEMATOMA PATIENTS AT A TERTIARY CARE HOSPITAL

Abstract

Introduction: Chronic subdural hematoma (CSDH) is common neurosurgical condition. A prospective study was conducted to analyse clinical profile, complications and factors associated with recurrence post-surgery.

Methods: This prospective study was conducted at Department of Neurosurgery, St. Stephen`s Hospital, Delhi between April 2014 to March 2016. Patients of all age groups and either sex admitted under or referred to Neurosurgery, who had clinical and radiological documentation of Chronic Subdural Hematoma and required burr hole surgery were included in our study.

Results: There were 28 males (87.50%) and 4 females (12.50%) in our study. Out of 32, 24 patients had GCS between 14 to 15. Three had GCS between 9 to 13 (9.38%) and 5 had GCS between 3-8 (15.63%). Out of 32, 28 patients presented with clinically bilaterally equal size of pupil and 4 patients had anisocoria. On admission 23 patients were MGS grade 1, 7 patients were grade 2 and 2 patients were grade 3.

Conclusion: Chronic Subdural Heamatoma is more common in elderly and has equal gender distribution. Hemiparesis is most common presentation. Trauma is most common etiology while Diabetes mellitus is most common comorbidity of chronic SDH. Brain remaining at depth after surgery and postoperative pneumocephalus lead to higher chances of recurrence.