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ORIGINAL ARTICLE
Year : 2014  |  Volume : 41  |  Issue : 3  |  Page : 173-175

Chronic subdural hematoma: Influence of head position (head low/supine) postoperatively on recurrence rate after burr hole craniotomy


Department of Neurosurgery, KLES Hospital, Belgaum, Karnataka, India

Correspondence Address:
Tanay Upendra Sholapurkar
Opd No 34, second floor, Neurosurgery Opd, Kles Hospital, Nehru nagar, belgaum, 590010
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-5009.141209

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Introduction and Objective: Chronic subdural hematoma is the most common traumatic intra-cranial hemorrhage in elderly. It has serious morbidity and mortality, but good surgical prognosis. Burr hole craniotomy is the most common form of treatment for chronic subdural hematoma. However, there have been very few studies to see the postoperative influence of head position (head low/supine) on recurrence of chronic subdural hematoma. The aim of this study is to compare recurrence rates between patients given head low position postoperatively versus supine position after burr hole craniotomy. Materials and Methods: During the period of months from August 2011 to August 2013, 78 patients of chronic subdural hematoma treated with burr hole craniotomy were included. Pre- and post-operative computed tomography scan\magnetic resonance imaging scan were used for radiological evaluation. After surgical intervention, the preference of head position (supine/head low) of the patient was decided by treating neurosurgeon. Head low position was kept for 3 days. Supine position was given for the rest of the patients. All patients were followed-up for at least 1 month after discharge. Results: Of the 78 patients, 16 patients were given head low position, whereas 62 were given supine position. The overall recurrence rate was 7.69% (6 out of 78) in our study. One of 16 patients (6.25%) given head low position recurred, whereas 5 of 62 patients (8.06%) who were given supine position recurred. Statistically (P > 0.05) postoperative recurrence rate in both groups were same. Conclusion: Results of our study indicate that patients who were given head low position had same recurrence rate as those who were given supine position. Hence, postoperatively position of the head does not influence the recurrence rates.


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