Document Detail


Treatment of chronic subdural haematoma with percutaneous needle trephination and open system drainage with repeated saline rinsing.
MedLine Citation:
PMID:  12383418     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fifty three patients with symptomatic chronic subdural haematomas were treated with single needle trephination followed by open system drainage with repeated saline rinsing for two days. After single trephination good outcome was achieved in 84% of the patients. Early recurrence was found in 11.3% of the cases. After a second needle trephination good outcome increased to 89%. Mortality rate was 4%. Long term follow up (mean 30 months) showed 6.7% recurrence rate. There were no complications. Single needle trephination with open system drainage and repeated rinsing is an effective and safe minimal invasive procedure for patients with chronic subdural haematomas.
Authors:
A T C J van Eck; C J de Langen; W Börm
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  9     ISSN:  0967-5868     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-10-17     Completed Date:  2003-01-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  573-6     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Städtisches Klinikum Karlsruhe, Moltkestrasse 14, 76133, Karlsruhe, Germany. vaneck@gamma-knife.de
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Drainage
Female
Hematoma, Subdural / etiology,  therapy*
Humans
Irrigation
Male
Middle Aged
Needles
Neurologic Examination
Neurosurgical Procedures*
Retrospective Studies
Sodium Chloride
Tomography, X-Ray Computed
Treatment Outcome
Chemical
Reg. No./Substance:
7647-14-5/Sodium Chloride

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