Chronic Subdural Haematoma: A Review Of Surgical Options In Resource Poor Settings

Abstract

Body of Research: Chronic subdural hematoma (CSDH) is a common neurosurgical condition, especially in the elderly population and its incidence is projected to rise as life expectancy continues to improve. Various techniques have been used to tackle CSDH, with burr hole craniostomy and craniotomy predominating.  Objectives: To review the surgical options available in managing CSDH. To introduce the technique of mini-craniectomy as a viable option when needed equipment are not available. Method: A literature search of the different surgical procedures done for CSDH was made using PubMed and the indications for each reviewed. A retrospective one year review of patients managed with mini-craniectomy measuring about 2.5 - 3cm in widest diameter under the temporalis muscle at the authors institution was conducted. Result: A total of 10 patients had this procedure done and at follow up at 6 and 12 weeks post-op had satisfactory outcomes. None had a recurrence. Conclusion: The technique of a mini-craniectomy is a safe and satisfactory method for managing chronic subdural haematoma and can be included in the list of surgical options for CSDH.