THERAPEUTIC CLASS

Management of chronic subdural haematoma: haematoma: burr holerndrainage, replacement with Hartmann?s solution, andrnclosed-system drainage

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Although the treatment of chronic subdural haematoma by burr hole drainage has been performed inrnthe past with or without using a closed drainage system, the problem of intracranial air entrapment stillrnpersists and can cause a deterioration in the level of consciousness or seizures in the postoperative period.rnCerebral infarction may also develop a few days after surgery because of the intracranial hypotensionrnthat occurs during the drainage procedure. In an attempt to minimise these complications and to preventrncerebral infarction and its attendant morbidity, we have developed a technique of treating chronic subduralrnhaematoma??amely, performing burr hole drainage, irrigation and replacement of the haematomarnwith Hartmann?? solution, and closed-system drainage of the subdural space with a silicone catheter. Thernblood pressure is closely monitored and maintained by the infusion of fluids throughout the procedure.rnAn illustrative case using this technique is presented in this paper

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English

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NONE

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Central Nervous System
Redura

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