Synopsis of patients of the present series which were finally treated by a changed treatment protocol
Patient | Age (y) | Sex | Preop neurol grade4-150 | Preop CT scan: | Number of subdural tappings | Number of subdural tappings with up to 10 ml haematoma efflux | Reason to change the treatment protocol | Final treatment | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Thickness of CSDH (cm) | Septation visible | ||||||||||||||||
1 | 61 | M | 2 | 1.0 | No | 1 | 0 | Acute subdural bleeding with deterioration of neurological grade | Craniotomy, evacuation of acute bleeding and of CSDH | ||||||||
2 | 70 | F | 2 | 3.0 | No | 1 | 0 | Acute subdural bleeding with deterioration of neurological grade | Craniotomy, evacuation of acute bleeding and of CSDH | ||||||||
3 | 74 | M | 2 | 2.5 | Yes | 10 | 3 | Subdural empyema | Craniotomy, evacuation of CSDH and of empyema, continuous catheter drainage | ||||||||
4 | 64 | M | 3 | 3.5 | Yes | 6 | 3 | Subdural empyema | Craniotomy, evacuation of CSDH and of empyema, continuous catheter drainage | ||||||||
5 | 66 | M | 4 | 2.5 | No | 1 | 0 | Poor preoperative neurological grade, no improvement of neurological grade | Burr hole trephination and continuous catheter drainage | ||||||||
6 | 63 | F | 2 | 2.0 | Yes | 4 | 3 | Insufficient evacuation of CSDH, no improvement of neurological grade | Craniotomy, evacuation of CSDH, partial membranectomy | ||||||||
7 | 64 | M | 2 | 2.5 | Yes | 3 | 3 | Insufficient evacuation of CSDH, no improvement of neurological grade | Burr hole trephination and continuous catheter drainage | ||||||||
8 | 47 | F | 2 | 2.5 | Yes | 4 | 3 | Insufficient evacuation of CSDH, no improvement of neurological grade | Craniotomy, partial membranectomy, continuous catheter drainage | ||||||||
94-151 | 83 | M | 2 | 3.0 | Yes | 8 | 3 | Insufficient evacuation of CSDH, no improvement of neurological grade | Craniotomy, evacuation of CSDH, continuous catheter drainage | ||||||||
10 | 72 | M | 2 | 2.5 | Yes | 2 | 0 | Insufficient evacuation of CSDH, seizure after subdural tapping | Burr hole trephination and continuous catheter drainage | ||||||||
11 | 75 | M | 2 | 3.0 | Yes | 8 | 4 | Insufficient evacuation of CSDH, no improvement of neurological grade | Burr hole trephination and continuous catheter drainage |