Abstract

LACERDA GALLARDO, Ángel Jesús; ESTENOZ ESQUIVEL, Juan Carlos  and  BORROTO PACHECO, Rigoberto. Hematoma subdural crónico: Resultados quirúrgicos en 2 años de trabajo. Rev Cubana cir [online]. 1999, vol.38, n.1, pp. 57-61. ISSN 1561-2945.

To reduce as much as possible mortality from chronic subdural hematoma (CSDH) is a goal that should be attained by every neurosurgical center. An early diagnosis and an adequate selection of the surgical procedure may influence on it. 20 patients, 16 males (80 %) and 4 females (20 %) with an average age by group of 66.55 years of age were surgically treated by multiple trephining with lavage of the cavity and closed drainage. The carotid angiography was the most used test for the diagnosis with 14 (70 %), followed by computerized axial tomography (CAT) with 8 (40 %). Bender´s scale was utilized to classify the patients according to the neurological state at the time of admission . 80 % of them corresponded to degrees I and II. The results were evaluated by using the Glasgow´s scale. 17 (85 %) had a good recovery

Keywords : HEMATOMA, SUBDURAL [mortality]; HEMATOMA, SUBDURAL [surgery]; TREPHINING [methods].