{"id":"afa5d922-1303-4ff8-849d-268b3150ce1f","slug":"value-of-routine-early-post-operative-computed-tomography-in-determining-short-term-functional-outcome-after-drainage-of-chronic-subdural-hematoma-an-evaluation-of-residual-volume","title":"Value of routine early post-operative computed tomography in determining short-term functional outcome after drainage of chronic subdural hematoma: An evaluation of residual volume","authors":["Hui Yu Ng","Wai Hoe Ng","Nicolas K. K. King"],"abstract":"Background: Computed tomography (CT) scans are widely used in managing chronic subdural hematoma (CSDH). Factors that determine early post-operative volume have not been examined. The value of routine early post-operative residual volume have not been evaluated. Our study aims to compare pre-operative and early post-operative CT findings to determine the factors affecting residual hematoma and evaluate if early post-operative CT scans are useful in the management of CSDH. Methods: Forty-three patients who underwent burr hole drainage of unilateral CSDH from August 2006 to January 2013 and had routine post-operative CT scans within 48 hours of surgery were selected. Data regarding age, sex, neurological deficit, Glasgow Coma Scale (GCS), pre-existing medical conditions, use of antiplatelets or anticoagulation, operative time, usage of drains, and number of burr holes were obtained. The pre-operative CSDH volume, CSDH density, and midline shift were measured. Residual volume was calculated from early post-operative CT scans. Clinical outcome was evaluated with Glasgow Outcome Scale (GOS) at the time of discharge. Statistical analysis was performed to look for correlation between the pre-operative factors and residual volume, and the residual volume and GOS. Results: Pre-operative volume was found to correlate significantly with post-operative residual volume. There was no significant correlation between all other pre-operative factors and residual volume. There was also no correlation between residual volume and GOS at discharge. Conclusion: Routine post-operative CT brain for burr hole drainage of CSDH may be unnecessary in view of the good predictive value of pre-operative volume, and also because it is not predictive of the clinical outcome.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/afa5d922-1303-4ff8-849d-268b3150ce1f/featured/hero-1782420983119.png","publishDate":"2014-09-19T00:00:00.000Z","doi":"10.4103/2152-7806.141299","categories":["Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2015/05/4030/SNI-5-136.pdf"}