Chronic subdural haematoma: review of 96 cases attending the Korle Bu Teaching Hospital, Accra

Dakurah, Thomas; Iddrissu, M; Wepeba, G; Nuamah, Isaac

doi:10.4314/wajm.v24i4.28210

Cited by 14 publications

(27 citation statements)

References 0 publications

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“…Recurrences seemed to be in relation with the preoperative density of the lesion and consequently with the inflammatory status of the hematoma as observed by some authors (4,5,(76)(77)(78). Overall results of the present series were in total concordance with those of large series of the literature (6,10,12,15,16,27,35,36,43,(59)(60)(61)67,79,80).…”

Section: Discussionsupporting

confidence: 91%

“…The disease will be more frequent in coming years with increase of life expectancy (8,9). CSH is consecutive to trauma in a large proportion with a frequency varying from 56% to 80% (10)(11)(12)(13)(14)(15)(16). Other risk factors include coagulopathies, therapeutic anticoagulation, antiplatelet agents, alcohol abuse, epilepsy, and intracranial hypotension (6,(17)(18)(19)(20)(21)(22)(23)(24)(25).…”

Section: Background and Importancementioning

confidence: 99%

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Open Drainage in Chronic Subdural Hematomas: A Prospective Study of 189 Cases

Bakhti

Tighilt

Djennas

2016

IrJNS

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Background & Importance: Chronic subdural hematoma (CSH) is one of the most frequent intracranial hemorrhages in adults. However, gold standard treatment of CSH is not yet defined. Since the 80's, closed drainage is a standard among techniques using drains because the open type has been incriminated in high rates of postoperative infections. However, closed drainage requires materiel which is sometimes not available or expensive in some countries. Open drainage was reintroduced in our department in the middle of the 90's because of economic crisis at this time. We have then conducted a prospective study to assess safety and efficacy of open drainage in treatment of CSH.Case Presentation: A prospective study of adult patients with CSH was conducted from January 2008 to December 2011. All patients have the same surgical procedure which included one burr-hole craniostomy, spontaneous evacuation and open drainage. The study focused on infectious complications, postoperative seizures, and recurrences. Results are compared with those of literature. In our study, 189 patients were operated with mean age of 69.2 years old. Of all, 163 patients were cured. Overall rate of complications was 15.34% with an infection rate of 1.58%, a postoperative seizure rate of 1.05% and a recurrence rate of 14.2%. Mortality rate was 5.8%. Results were in concordance with those of large series of literature. Conclusion:Data of the current study suggested that open drainage is a safe and efficient method in treatment of CSH. It is also a costefficient treatment that could be very interesting for middle-and low-income countries. Keywords AbstractBackground and Importance

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Section: Discussionsupporting

confidence: 91%

Section: Background and Importancementioning

confidence: 99%

Open Drainage in Chronic Subdural Hematomas: A Prospective Study of 189 Cases

Bakhti

Tighilt

Djennas

2016

IrJNS

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“…These authors reveal CSDH to be relatively frequent among neurosurgical services in Africa as with elsewhere in the world (4,15,16). The mean age of CSDH patients in sub-Saharan Africa is less than 60 years according to most publications (6,7,10). This is due to the relative youth of the sub-Saharan population and its shorter life expectancy.…”

Section: Discussionmentioning

confidence: 91%

“…Epidemiologically, incidence of SDH as reported in Western literature increases with age, from 3.4/100,000 among patients below the age of 65 to 58.1/100,000 above the age of 65 (3,4). There have been several African publications (5)(6)(7)(8)(9)(10) within the larger global literature on this disorder. This primary study from the country of Benin seeks to describe and compare the epidemiological profile of CSDH as well as our post-operative results relative to that of other countries.…”

Section: Introductionmentioning

confidence: 99%

Treatment and Outcome of Chronic Subdural Hematoma in Sub-Saharan Afrcia and the Country of Benin

Hodé

Quenum²,

Fatigba³

et al. 2015

IrJNS

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Background & Aim: Chronic subdural hematoma (CSDH) is a common neurosurgical pathology. The objective of this study was to describe the epidemiology of this pathology and the results in treating it combined from three hospital centers in Benin. Methods & Materials/Patients: From September 2010 to September 2013 a multi-center, retrospective and descriptive study was conducted in three hospital centers in Benin. Inventory was taken of all patients in whom CSDH was diagnosed. Patients were evaluated according to Markwalder classification. All patients received a brain scan. The variables studied include demographic and clinical characteristics, therapeutic modalities and post-operative followup. Results: 104 consecutive patients with CSDH were included in the study. The mean age was 49.66, but ranged from six months to 87 years. The M:F sex ratio was 5.11/1. Prior cranial trauma had occurred in 81 patients (77%). Preoperative neurological Grades 1 or 2 were observed in 56.4% of cases. Surgical treatment was given to 100 patients (96.15%). Events surrounding the surgery were straightforward and results satisfactory in 94% of cases. No relapses were observed. The morbidity was 4% and the mortality among surgical patients was 3%. Conclusion: CSDH is frequently treated in the country of Benin. The mean age of patients is lower than that observed in global literature, and patients are predominantly male. Regardless of the patient condition upon hospital admission, post-operative results compare favorably with the literature.

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“…We supplemented these articles with similar searches for outcomes and costs of surgery for hematomas, health-related utilities of various outcomes, bibliographies of selected articles, and the "Related Articles" feature of PubMed. [1][2][3][4][6][7][8]10,11,[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28]30,31,[33][34][35][36][37][38][39][40][41][42][43][44][45][46][48][49][50]52,[55][56][57] To ensure uniformity, we adopted the definitions of the various operations used by Weigel and colleagues. 54 Cranial openings > 3 cm were classified as crani...…”

Section: Methodsmentioning

confidence: 99%