The aim of this study was to describe the treatment of chronic subdural hematoma (CSDH) in a neurosurgical setting, at the University Hospital Centre of Brazzaville. We conducted a descriptive study with retrospective data collection from 2014 to 2021 (a period of eight years). We included adult patients treated at the hospital for this condition. The variables studied were diagnostic, therapeutic and evolutionary. We selected 81 patients. They were over 60 years old in 49 cases (60.5%). The Glasgow coma scale was between 13 and 15 in 50 cases (61.7%). The Markwalder grade was 1 in 34 cases (42%) and 3 in 24 cases (29.6%). The hematoma was unilateral in 62 cases (76.6%) and bilateral in 19 cases (23.4%). The thickness of the hematoma was greater than or equal to 2 cm in 64 cases (79%). All patients underwent surgery. Single burr hole surgery was performed in 68 patients (84%). Drainage was placed in all the patients. The outcome was favourable in 43 cases (53.1%). Complications were noted in 38 cases (46.9%). Five patients (6.2%) died, including two cases of empyema, two cases of neurological deterioration and one case of postoperative sepsis. In univariate analysis, we found a statistically significant association between the Glasgow coma scale (P = 0.0004) and the thickness of the CSDH (P = 0.02) with the occurrence of complications. In multivariate analysis, the Glasgow Coma Scale and bilateral nature were factors influencing the occurrence of complications, adjusting for age and the hematoma thickness. Patient care may be improved by early surgical treatment in a patient with a favourable Glasgow score. Surgical techniques are varied, but postoperative drainage seems essential.
| Published in | International Journal of Neurosurgery (Volume 7, Issue 2) |
| DOI | 10.11648/j.ijn.20230702.15 |
| Page(s) | 41-45 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Chronic Subdural Hematoma, Surgery, Brazzaville
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APA Style
Ekouele Mbaki Hugues Brieux, Gapoula Syntiche Cécilia, Boukaka Kala Rel Gerald, Thouassa Gédéon Colin, Ngackosso Olivier Brice, et al. (2023). Treatment of Chronic Subdural Hematoma in Adults at the University Hospital of Brazzaville (Congo). International Journal of Neurosurgery, 7(2), 41-45. https://doi.org/10.11648/j.ijn.20230702.15
ACS Style
Ekouele Mbaki Hugues Brieux; Gapoula Syntiche Cécilia; Boukaka Kala Rel Gerald; Thouassa Gédéon Colin; Ngackosso Olivier Brice, et al. Treatment of Chronic Subdural Hematoma in Adults at the University Hospital of Brazzaville (Congo). Int. J. Neurosurg. 2023, 7(2), 41-45. doi: 10.11648/j.ijn.20230702.15
AMA Style
Ekouele Mbaki Hugues Brieux, Gapoula Syntiche Cécilia, Boukaka Kala Rel Gerald, Thouassa Gédéon Colin, Ngackosso Olivier Brice, et al. Treatment of Chronic Subdural Hematoma in Adults at the University Hospital of Brazzaville (Congo). Int J Neurosurg. 2023;7(2):41-45. doi: 10.11648/j.ijn.20230702.15
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author = {Ekouele Mbaki Hugues Brieux and Gapoula Syntiche Cécilia and Boukaka Kala Rel Gerald and Thouassa Gédéon Colin and Ngackosso Olivier Brice and Kinata Bambino Sinclair Brice and Boukassa Léon and Otiobanda Gilbert Fabrice},
title = {Treatment of Chronic Subdural Hematoma in Adults at the University Hospital of Brazzaville (Congo)},
journal = {International Journal of Neurosurgery},
volume = {7},
number = {2},
pages = {41-45},
doi = {10.11648/j.ijn.20230702.15},
url = {https://doi.org/10.11648/j.ijn.20230702.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20230702.15},
abstract = {The aim of this study was to describe the treatment of chronic subdural hematoma (CSDH) in a neurosurgical setting, at the University Hospital Centre of Brazzaville. We conducted a descriptive study with retrospective data collection from 2014 to 2021 (a period of eight years). We included adult patients treated at the hospital for this condition. The variables studied were diagnostic, therapeutic and evolutionary. We selected 81 patients. They were over 60 years old in 49 cases (60.5%). The Glasgow coma scale was between 13 and 15 in 50 cases (61.7%). The Markwalder grade was 1 in 34 cases (42%) and 3 in 24 cases (29.6%). The hematoma was unilateral in 62 cases (76.6%) and bilateral in 19 cases (23.4%). The thickness of the hematoma was greater than or equal to 2 cm in 64 cases (79%). All patients underwent surgery. Single burr hole surgery was performed in 68 patients (84%). Drainage was placed in all the patients. The outcome was favourable in 43 cases (53.1%). Complications were noted in 38 cases (46.9%). Five patients (6.2%) died, including two cases of empyema, two cases of neurological deterioration and one case of postoperative sepsis. In univariate analysis, we found a statistically significant association between the Glasgow coma scale (P = 0.0004) and the thickness of the CSDH (P = 0.02) with the occurrence of complications. In multivariate analysis, the Glasgow Coma Scale and bilateral nature were factors influencing the occurrence of complications, adjusting for age and the hematoma thickness. Patient care may be improved by early surgical treatment in a patient with a favourable Glasgow score. Surgical techniques are varied, but postoperative drainage seems essential.
},
year = {2023}
}
TY - JOUR T1 - Treatment of Chronic Subdural Hematoma in Adults at the University Hospital of Brazzaville (Congo) AU - Ekouele Mbaki Hugues Brieux AU - Gapoula Syntiche Cécilia AU - Boukaka Kala Rel Gerald AU - Thouassa Gédéon Colin AU - Ngackosso Olivier Brice AU - Kinata Bambino Sinclair Brice AU - Boukassa Léon AU - Otiobanda Gilbert Fabrice Y1 - 2023/10/31 PY - 2023 N1 - https://doi.org/10.11648/j.ijn.20230702.15 DO - 10.11648/j.ijn.20230702.15 T2 - International Journal of Neurosurgery JF - International Journal of Neurosurgery JO - International Journal of Neurosurgery SP - 41 EP - 45 PB - Science Publishing Group SN - 2640-1959 UR - https://doi.org/10.11648/j.ijn.20230702.15 AB - The aim of this study was to describe the treatment of chronic subdural hematoma (CSDH) in a neurosurgical setting, at the University Hospital Centre of Brazzaville. We conducted a descriptive study with retrospective data collection from 2014 to 2021 (a period of eight years). We included adult patients treated at the hospital for this condition. The variables studied were diagnostic, therapeutic and evolutionary. We selected 81 patients. They were over 60 years old in 49 cases (60.5%). The Glasgow coma scale was between 13 and 15 in 50 cases (61.7%). The Markwalder grade was 1 in 34 cases (42%) and 3 in 24 cases (29.6%). The hematoma was unilateral in 62 cases (76.6%) and bilateral in 19 cases (23.4%). The thickness of the hematoma was greater than or equal to 2 cm in 64 cases (79%). All patients underwent surgery. Single burr hole surgery was performed in 68 patients (84%). Drainage was placed in all the patients. The outcome was favourable in 43 cases (53.1%). Complications were noted in 38 cases (46.9%). Five patients (6.2%) died, including two cases of empyema, two cases of neurological deterioration and one case of postoperative sepsis. In univariate analysis, we found a statistically significant association between the Glasgow coma scale (P = 0.0004) and the thickness of the CSDH (P = 0.02) with the occurrence of complications. In multivariate analysis, the Glasgow Coma Scale and bilateral nature were factors influencing the occurrence of complications, adjusting for age and the hematoma thickness. Patient care may be improved by early surgical treatment in a patient with a favourable Glasgow score. Surgical techniques are varied, but postoperative drainage seems essential. VL - 7 IS - 2 ER -
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