Outcome of burr-hole craniostomy for chronic subdural hematoma

Objective: objective of this study is to determine the outcome of burr-hole craniostomy for chronic subdural hematoma (csdh). study design: a descriptive study. setting: department of neurosurgery,liaquat university hospital,jamshoro study period 15th september 2010 to 16th march 2012. methods: all patients of either gender presented with clinical and radiological evidence of csdh and undergoing burr-hole craniostomy. the outcome evaluated by postoperative improvement of patients using glasgow coma scale and markwalder scale. results: among 33 subjects,the mean age of the patients was 65.94 years with age ranges between 30 – 88 years with majority males (63.6%). 57.6% had history of trauma and 66.7% presented with complain of headache. a significant improvement in the post-operative markwalder grade and glasgow coma scale (p<0.01) noticed as compare to pre-operative markwalder grade and glasgow coma scale. conclusion: burr hole craniostomy with closed drainage system under local anesthesia is a good choice of treatment. in csdh,burr hole craniostomy is safe and results are comparable to those of the major series of the literature as the surgical procedure is standardized. © 2015,liaquat university of medical and health sciences. all rights reserved.