| Comparative Analysis between Unilateral and Bilateral Chronic Subdural Hematoma |
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Chul Hwan Cho , Ki Seong Eom , Tae Young Kim |
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Department of Neurosurgery, Wonkwang University School of Medicine, Iksan, Korea |
| 일측성 및 양측성 만성 경막하혈종 환자의 비교 분석 |
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조철환ㆍ엄기성ㆍ김태영 |
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원광대학교 의과대학 신경외과학교실 |
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| Abstract |
Objective
Chronic subdural hematoma (CSDH) is a common clinical disease. Nearly all patients have unilateral CSDH, but bilateral CSDH
is not rare. We thought that there are the differences between unilateral and bilateral CSDH even though we have good result through
the simple burr hole drainage. The authors analyzed the clinical feature of unilateral and bilateral CSDH.
Methods
85 patients CSDH patients were included who were operated on burr hole trephination and closed system drainage between January
2010 and December 2012. We classified them into two groups by unilateral and bilateral. We investigated the history of head injury, underlying
medical conditions, neurologic symptoms, Glasgow Coma Scale, Markwalder clinical grade, morbidity, mortality, Glasgow Outcome Scale (GOS),
and recurrence.
Results
Trauma is major etiology in two groups. There is no difference at co-existing disease between two groups. The good outcome is attained
in GOS at discharge in both groups.
Conclusion
There is no significant difference between bilateral and unilateral chronic subdural hematoma. And the postoperative results were
as good as unilateral hematoma patient in bilateral subdural hematoma patient. |
| Key Words:
Chronic subdural hematomaㆍGlasgow coma scaleㆍGlasgow outcome scale |
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