Abstract
OBJECTIVE: Objective of this study is to determine the outcome of Burr-hole craniostomy for
chronic subdural hematoma (CSDH).
STUDY DESIGN: A descriptive study.
SETTING: Department of Neurosurgery, Liaquat University Hospital, Jamshoro study period
15th September 2010 to 16th March 2012.
METHODS: All patients of either gender presented with clinical and radiological evidence of
CSDH and undergoing burr-hole craniostomy. The outcome evaluated by postoperative improvement of patients using Glasgow Coma Scale and Markwalder scale.
RESULTS: Among 33 subjects, the mean age of the patients was 65.94 years with age ranges
between 30 – 88 years with majority males (63.6%). 57.6% had history of trauma and 66.7% presented with complain of headache. A significant improvement in the Post-Operative Markwalder
grade and Glasgow coma scale (p<0.01) noticed as compare to pre-operative Markwalder grade
and Glasgow coma scale.
CONCLUSION: Burr hole Craniostomy with closed drainage system under local anesthesia is a
good choice of treatment. In CSDH, Burr hole Craniostomy is safe and results are comparable
to those of the major series of the literature as the surgical procedure is standardized.
