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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Active Comparator | Patients who underwent single burr-hole craniostomy |
|
| Group B | Active Comparator | Patients who underwent double burr-hole craniostomy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Chronic Subdural Hematoma Evacuation | Procedure | Single burr-hole technique: A single burr hole was made over the maximum thickness of the hematoma followed by dural opening, irrigation with warm saline, and placement of a drain. Double burr-hole technique: Two burr holes were created (frontal and parietal), allowing more extensive irrigation and evacuation of the hematoma, followed by drain placement. |
| Measure | Description | Time Frame |
|---|---|---|
| Recurrence | re-accumulation requiring re-operation | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Infection | invasion and multiplication of pathogenic microorganisms in a host, causing a local or systemic immune response, which may or may not result in clinical disease. | 6 months |
| Seizures |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sohag University | Sohag | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42111450 | Background | Kumar D, Kumar A, Anwer M, Khan AV, Kumar H, Sridhar R, Hakeem A, Kumar A, Kumar A. Effectiveness of Single Versus Double Burr Hole for Chronic Subdural Hematoma: A Randomized Controlled Trial. Korean J Neurotrauma. 2026 Mar 6;22(2):149-158. doi: 10.13004/kjnt.2026.22.e11. eCollection 2026 Apr. | |
| 33130139 | Background |
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| ID | Term |
|---|---|
| D020200 | Hematoma, Subdural, Chronic |
| ID | Term |
|---|---|
| D006408 | Hematoma, Subdural |
| D020198 | Intracranial Hemorrhage, Traumatic |
| D020300 | Intracranial Hemorrhages |
| D002561 | Cerebrovascular Disorders |
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|
sudden, uncontrolled electrical disturbance in the brain that can cause changes in behavior, movement, sensation, consciousness, or autonomic function
| 6 months |
| Pneumocephalus | presence of air within the intracranial cavity | 6 months |
| Glasgow Coma Scale | evaluate the level of consciousness in patients with acute brain injury by assessing three components: eye opening, verbal response, and motor response.score ranges from 3 to 15, with lower scores indicating more severe impairment of consciousness. | 6 months |
| Motor Power | strength generated by voluntary contraction of a muscle or muscle group and is assessed during neurological examination to evaluate the integrity of the motor system. It is commonly graded using the Medical Research Council (MRC) Muscle Strength Scale.ranging from 0 (no contraction) to 5 (normal strength), with higher vlaues indicating better outcomes. | 6 months |
| Sale D. Single versus Double Burr Hole for Drainage of Chronic Subdural Hematoma: Randomized Controlled Study. World Neurosurg. 2021 Feb;146:e565-e567. doi: 10.1016/j.wneu.2020.10.140. Epub 2020 Oct 28. |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006406 | Hematoma |
| D006470 | Hemorrhage |
| D014947 | Wounds and Injuries |