The efficacy and safety of burr-hole craniotomy without continuous drainage for chronic subdural hematoma and subdural hygroma in children under 2 years of age.
Kazuya MatsuoNobuyuki AkutsuKunitoshi OtsukaKazuki YamamotoAtsufumi KawamuraTatsuya NagashimaPublished in: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery (2016)
Burr-hole craniotomy without continuous drainage for CSDH/SDHy appears safe in children aged under 2 years and results in a relatively low recurrence rate. No predictors of CSDH/SDHy recurrence were identified. Advantages of this method include avoiding external subdural drainage-related complications. However, burr-hole drainage may be more effective for CSDH, which our data suggests is more likely to recur than SDHy, providing the procedure is performed with specific efforts to reduce complications.