Early Clinical Outcome of Mini-Craniotomy in Mixed Density Subdural Hematoma

Amjad Saeed Abbasi; Shahzad Ahmed Qasmi; Hanif Abbasi; Awais Ali Khan; Ali Ahmed; Babar Shamim

doi:10.51253/pafmj.v73i4.6695

Authors

Amjad Saeed Abbasi Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Shahzad Ahmed Qasmi Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Hanif Abbasi Department of Anesthesia, Combined Military Hospital, Kohat/National University of Medical Sciences (NUMS), Pakistan
Awais Ali Khan Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Ali Ahmed Department of Surgery, Combined Military Hospital, Abbottabad/National University of Medical Sciences (NUMS), Pakistan
Babar Shamim Department of Surgery, Combined Military Hospital, Malir /National University of Medical Sciences (NUMS), Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i4.6695

Keywords:

Glasgow comma scale (GCS), Mini-craniotomy, Subdural hematoma

Abstract

Objective: To determine the efficacy of mini-craniotomy for evacuation of mix-density subdural hematoma in terms of early clinical outcome.

Study Design: Quasi-experimental study.

Place and Duration of Study: Neurosurgery Department, Combined Military Hospital, Rawalpindi Pakistan, from Jan to Dec 2020.

Methodology: Eighty patients with mixed-density subdural hematoma were included in the study. All were subjected to minicraniotomy under general anaesthesia. Post-operative Glasgow Coma Scale (GCS) was monitored and compared with the preoperative Glasgow Coma Scale (GCS) to see the early clinical outcome of the patients.

Results: Out of 80 patients with mixed-density subdural, 38(47.5%) were females, whereas 42(52.5%) were males. The mean age of the patients was 70.9±6.98 years. Improvement in Glasgow Coma Scale (GCS) after 24hrs showed that 68(85%) patients had a favourable outcome, while 12(15%) had the same condition post-operatively.

Conclusion: Mini-craniotomy is a suitable surgical procedure for the treatment of mixed-density subdural hematoma.