Surgical Management of Chronic Subdural Hematoma: Clinical Outcomes Following Single VS Double Burr Holes Evacuation

Surgical Management of Chronic Subdural Hematoma: Clinical Outcomes Following Single VS Double Burr Holes Evacuation

This study aims to evaluate and compare the clinical and radiological outcomes of patients with chronic subdural hematoma (CSDH) undergoing surgical evacuation using either single or double burr-hole craniostomy.

The comparison focuses on key outcome measures including recurrence rate, postoperative complications, neurological improvement, length of hospital stay, and overall functional recovery, in order to determine the most effective and safe surgical technique.

Inclusion Criteria:

• Patients aged ≥18 years
• Radiologically confirmed chronic subdural hematoma by CT and/or MRI
• Symptomatic patients indicated for surgical evacuation
• Patients treated by burr-hole craniostomy (single or double)

Exclusion Criteria:

• Acute or subacute subdural hematomas
• Patients managed by craniotomy flap
• Uncorrected coagulopathy
• Patients on anticoagulant or antiplatelet therapy without proper perioperative management
• Patients with severe comorbid conditions significantly affecting outcomes