Abstract
Aim. To evaluate the results of surgical care in chronic subdural haemorrhage patients.
Design of the study. Prospective
Study location. Department of Neurosurgery, tertiary care centre
Methodology. The study comprised 65 individuals of both genders with chronic subdural haemorrhages who were above the age of 18. Patients' full medical histories, including age, gender, and place of residence, were documented. The Markwalder Grading System was used to classify patients. A CT scan was performed pre and post-surgery, as well as at the time of discharge. The Glasgow coma scale was used to record the outcomes.
Results. There were 57 (87.6%) male individuals and 8 (12.3%) female individuals. majority of them presented with headache (61.5%), followed by extremity weakness/paresis (52.3%). As Per, Markwalder's grade on admission, 33 (50.7%) people were in grade 1, and 30 (46.1%) people were in grade 2. The clinical picture at discharge was evaluated according to the Markwalder grade: 52 people (80%) were grade 0, 2 people (3%) were grade 1, 9 people (13.8%) were grade 2
Conclusion: The major risk factors for the development of CSDH in our set-up are male sex, mild head trauma, old age and alcohol intake. CSDH is more common on the left side. majority of patients had duration of trauma in between 4-12 weeks Majority of patients had grade 1 on Markwalder grading on admission. The majority of patients had a Thickness of CSDH is 10-20 mm MLS in CSDH is 5-10 mm on admission. The symptoms that present most frequently are headache and motor weakness, and the result is related to the person's pre-operative neurological condition, G.C.S., and concurrent systemic disorders. Surgical procedures should be individualised according to the radiological characteristics of chronic subdural haematoma.
