Surgical Management of Chronic Subdural Hematoma: Clinical Outcomes Following Single VS Double Burr Holes Evacuation

N/AActive Not RecruitingNCT07688473

Sohag University30 enrolled

Overview

This study aims to evaluate and compare the clinical and radiological outcomes of patients with chronic subdural hematoma (CSDH) undergoing surgical evacuation using either single or double burr-hole craniostomy. The comparison focuses on key outcome measures including recurrence rate, postoperative complications, neurological improvement, length of hospital stay, and overall functional recovery, in order to determine the most effective and safe surgical technique.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Chronic Subdural Hematoma

Interventions

Chronic Subdural Hematoma EvacuationPROCEDURE

Single burr-hole technique: A single burr hole was made over the maximum thickness of the hematoma followed by dural opening, irrigation with warm saline, and placement of a drain. Double burr-hole technique: Two burr holes were created (frontal and parietal), allowing more extensive irrigation and evacuation of the hematoma, followed by drain placement.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients aged ≥18 years * Radiologically confirmed chronic subdural hematoma by CT and/or MRI * Symptomatic patients indicated for surgical evacuation * Patients treated by burr-hole craniostomy (single or double) Exclusion Criteria: * Acute or subacute subdural hematomas * Patients managed by craniotomy flap * Uncorrected coagulopathy * Patients on anticoagulant or antiplatelet therapy without proper perioperative management * Patients with severe comorbid conditions significantly affecting outcomes

Locations (1)

Sohag University

Sohag, Egypt

Outcomes

Primary Outcomes

Recurrence

re-accumulation requiring re-operation

Time frame: 6 months

Secondary Outcomes

Infection

invasion and multiplication of pathogenic microorganisms in a host, causing a local or systemic immune response, which may or may not result in clinical disease.

Time frame: 6 months

Seizures

sudden, uncontrolled electrical disturbance in the brain that can cause changes in behavior, movement, sensation, consciousness, or autonomic function

Time frame: 6 months

Pneumocephalus

presence of air within the intracranial cavity

Time frame: 6 months

Glasgow Coma Scale

evaluate the level of consciousness in patients with acute brain injury by assessing three components: eye opening, verbal response, and motor response.score ranges from 3 to 15, with lower scores indicating more severe impairment of consciousness.

Time frame: 6 months

Motor Power

strength generated by voluntary contraction of a muscle or muscle group and is assessed during neurological examination to evaluate the integrity of the motor system. It is commonly graded using the Medical Research Council (MRC) Muscle Strength Scale.ranging from 0 (no contraction) to 5 (normal strength), with higher vlaues indicating better outcomes.

Time frame: 6 months

Data from ClinicalTrials.gov

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