RT Journal Article
SR Electronic
T1 Low incidence of seizures in patients with chronic subdural haematoma.
JF Journal of Neurology, Neurosurgery & Psychiatry
JO J Neurol Neurosurg Psychiatry
FD BMJ Publishing Group Ltd
SP 1231
OP 1233
DO 10.1136/jnnp.56.11.1231
VO 56
IS 11
A1 K Ohno
A1 T Maehara
A1 K Ichimura
A1 R Suzuki
A1 K Hirakawa
A1 S Monma
YR 1993
UL http://jnnp.bmj.com/content/56/11/1231.abstract
AB A total of 129 patients treated for chronic subdural haematoma were studied retrospectively to evaluate the incidence of seizures. None of 73 patients who were given prophylactic antiepileptic drug treatment developed seizures. Only two of 56 patients not given prophylaxis, developed early postoperative seizures. In these two, surgical technique was thought to be responsible. One patient developed complex partial seizures preoperatively. The incidence of seizures was therefore low, and similar to that previously reported for minor head injury. This study suggests that routine use of antiepileptic prophylaxis is not justified in patients with chronic subdural haematoma caused by minor head injuries, or other causes when there are no additional lesions present on CT scans.