Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Indications and Surgical Results of Twist-Drill Craniostomy at the Pre-Coronal Point for Symptomatic Chronic Subdural Hematoma Patients

  • Lee, Jin-Young (Department of Neurosurgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Kim, Bum-Tae (Department of Neurosurgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Hwang, Sun-Chul (Department of Neurosurgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Im, Soo-Bin (Department of Neurosurgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Shin, Dong-Seong (Department of Neurosurgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Shin, Won-Han (Department of Neurosurgery, Soonchunhyang University College of Medicine, Bucheon Hospital)
  • Received : 2012.03.16
  • Accepted : 2012.08.19
  • Published : 2012.08.28
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : Twist-drill craniostomy (TDC) with closed-system drainage and burr-hole drainage (BHD) with a closed system are effective treatment options for chronic subdural hematoma (CSDH). The aim of this study was to analyze clinical data and surgical results from symptomatic CSDH patients who underwent TDC with closed-system drainage at the pre-coronal point (PCP). Methods : We analyzed data for 134 symptomatic CSDH patients who underwent TDC at the PCP with closed-system drainage. We defined the PCP for TDC to be 1 cm anterior to the coronal suture at the level of superior temporal line. TDC at the PCP with closed-system drainage was selected in patients with CSDH that extended beyond the coronal suture, confirmed by preoperative CT scans. Medical records, radiological findings, and clinical performance were reviewed retrospectively. Results : Of the 134 CSDH patients, 114 (85.1%) showed improved clinical performance and imaging findings after surgery. Catheter failures were seen in two cases (1.4%); the catheters were inserted in the epidural space. Recurrent cases were seen in eight patients (5.6%), and they were improved with a second BHD with a closed-system operation. Conclusion : TDC at the PCP with closed-system drainage is safe and effective for patients with symptomatic CSDH whose hematomas extend beyond the coronal suture.

Keywords

References

  1. Camel M : Twist-drill craniostomy for the treatment of chronic subdural hematoma. Neurosurg Clin N Am 11 : 515-518, 2000
  2. Camel M, Grubb RL Jr : Treatment of chronic subdural hematoma by twist-drill craniotomy with continuous catheter drainage. J Neurosurg 65 : 183-187, 1986 https://doi.org/10.3171/jns.1986.65.2.0183
  3. Carlton CK, Saunders RL : Twist drill craniostomy and closed system drainage of chronic and subacute subdural hematomas. Neurosurgery 13 : 153-159, 1983 https://doi.org/10.1227/00006123-198308000-00008
  4. Horn EM, Feiz-Erfan I, Bristol RE, Spetzler RF, Harrington TR : Bedside twist drill craniostomy for chronic subdural hematoma : a comparative study. Surg Neurol 65 : 150-153; discussion 153-154, 2006 https://doi.org/10.1016/j.surneu.2005.05.030
  5. Hwang SC, Im SB, Kim BT, Shin WH : Safe entry point for twist-drill craniostomy of a chronic subdural hematoma. J Neurosurg 110 : 1265-1270, 2009 https://doi.org/10.3171/2008.9.JNS08359
  6. Kang HL, Shin HS, Kim TH, Hwang YS, Park SK : Clinical analysis of recurrent chronic subdural hematoma. J Korean Neurosurg Soc 40 : 262-266, 2006
  7. Kang MS, Koh HS, Kwon HJ, Choi SW, Kim SH, Youm JY : Factors influencing recurrent chronic subdural hematoma after surgery. J Korean Neurosurg Soc 41 : 11-15, 2007
  8. Ko BS, Lee JK, Seo BR, Moon SJ, Kim JH, Kim SH : Clinical analysis of risk factors related to recurrent chronic subdural hematoma. J Korean Neurosurg Soc 43 : 11-15, 2008 https://doi.org/10.3340/jkns.2008.43.1.11
  9. Lega BC, Danish SF, Malhotra NR, Sonnad SS, Stein SC : Choosing the best operation for chronic subdural hematoma : a decision analysis. J Neurosurg 113 : 615-621, 2010 https://doi.org/10.3171/2009.9.JNS08825
  10. Miranda LB, Braxton E, Hobbs J, Quigley MR : Chronic subdural hematoma in the elderly : not a benign disease. J Neurosurg 114 : 72-76, 2011 https://doi.org/10.3171/2010.8.JNS10298
  11. Muzii VF, Bistazzoni S, Zalaffi A, Carangelo B, Mariottini A, Palma L : Chronic subdural hematoma : comparison of two surgical techniques. Preliminary results of a prospective randomized study. J Neurosurg Sci 49 : 41-46; discussion 46-47, 2005
  12. Oh HJ, Lee KS, Shim JJ, Yoon SM, Yun IG, Bae HG : Postoperative course and recurrence of chronic subdural hematoma. J Korean Neurosurg Soc 48 : 518-523, 2010 https://doi.org/10.3340/jkns.2010.48.6.518
  13. Ramnarayan R, Arulmurugan B, Wilson PM, Nayar R : Twist drill craniostomy with closed drainage for chronic subdural haematoma in the elderly : an effective method. Clin Neurol Neurosurg 110 : 774-778, 2008 https://doi.org/10.1016/j.clineuro.2008.04.013
  14. Rand BO, Ward AA Jr, White LE Jr, White LE Jr : The use of the twist drill to evaluate head trauma. J Neurosurg 25 : 410-415, 1966 https://doi.org/10.3171/jns.1966.25.4.0410
  15. Reinges MH, Hasselberg I, Rohde V, Küker W, Gilsbach JM : Prospective analysis of bedside percutaneous subdural tapping for the treatment of chronic subdural haematoma in adults. J Neurol Neurosurg Psychiatry 69 : 40-47, 2000 https://doi.org/10.1136/jnnp.69.1.40
  16. Rychlicki F, Recchioni MA, Burchianti M, Marcolini P, Messori A, Papo I : Percutaneous twist-drill craniostomy for the treatment of chronic subdural haematoma. Acta Neurochir (Wien) 113 : 38-41, 1991 https://doi.org/10.1007/BF01402112
  17. Sindou M, Ibrahim I, Maarrawi J : Chronic sub-dural hematomas : twist drill craniostomy with a closed system of drainage, for 48 hours only, is a valuable surgical treatment. Acta Neurochir (Wien) 152 : 545-546, 2010 https://doi.org/10.1007/s00701-009-0489-9
  18. Smely C, Madlinger A, Scheremet R : Chronic subdural haematoma--a comparison of two different treatment modalities. Acta Neurochir (Wien) 139 : 818-825; discussion 825-826, 1997 https://doi.org/10.1007/BF01411399
  19. Stanisic M, Lund-Johansen M, Mahesparan R : Treatment of chronic subdural hematoma by burr-hole craniostomy in adults : influence of some factors on postoperative recurrence. Acta Neurochir (Wien) 147 : 1249-1256; discussion 1256-1257, 2005 https://doi.org/10.1007/s00701-005-0616-1
  20. Sucu HK, Gökmen M, Ergin A, Bezircioğlu H, Gökmen A : Is there a way to avoid surgical complications of twist drill craniostomy for evacuation of a chronic subdural hematoma? Acta Neurochir (Wien) 149 : 597-599, 2007 https://doi.org/10.1007/s00701-007-1162-9
  21. Voelker JL, Sambasivan M : The role of craniotomy and trephination in the treatment of chronic subdural hematoma. Neurosurg Clin N Am 11 : 535-540, 2000
  22. Williams GR, Baskaya MK, Menendez J, Polin R, Willis B, Nanda A : Burr-hole versus twist-drill drainage for the evacuation of chronic subdural haematoma : a comparison of clinical results. J Clin Neurosci 8 : 551-554, 2001 https://doi.org/10.1054/jocn.2000.0926

Cited by

  1. Chronic subdural haematoma: modern management and emerging therapies vol.10, pp.10, 2014, https://doi.org/10.1038/nrneurol.2014.163
  2. Comparison of the Indications and Treatment Results of Burr-Hole Drainage at the Maximal Thickness Area versus Twist-Drill Craniostomy at the Pre-Coronal Point for the Evacuation of Symptomatic Chroni vol.56, pp.3, 2012, https://doi.org/10.3340/jkns.2014.56.3.243
  3. Twist-Drill or Burr Hole Craniostomy for Draining Chronic Subdural Hematomas: How to Choose It for Chronic Subdural Hematoma Drainage vol.12, pp.2, 2016, https://doi.org/10.13004/kjnt.2016.12.2.107
  4. Chronic Subdural Hematoma Associated with Fahr Syndrome: A Clinical Association or Just a Simple Coincidence? vol.13, pp.1, 2012, https://doi.org/10.4103/1793-5482.224831
  5. Fibrinolytic-Facilitated Chronic Subdural Hematoma Drainage—A Systematic Review vol.150, pp.None, 2021, https://doi.org/10.1016/j.wneu.2021.03.029