RESUMO
BACKGROUND: Chronic subdural haematoma is one of the most common entities encountered in daily practice. Many methods of treatment have been reported, each with its own advantages and disadvantages. METHOD: The authors present a novel technique for the management of chronic subdural haematoma which is a variation of a closed drainage system. After evacuation of the haematoma through a single burr hole, we inserted a Jackson Pratt drain into the subgaleal space, with suction facing the burr hole, allowing for continuous drainage of the remaining haematoma. FINDINGS: We used the method for over 4 years to treat 224 patients. Seventeen patients (7.6%) needed a second operation for a recurrence of the haematoma no patient required a third operation. Postoperative complications developed in 3 patients. Two patients died while in the hospital, a mortality rate of 0.9%. CONCLUSIONS: The use of suction assisted evacuation, is followed by results that compare satisfactorily to reports of previous methods, with a low rate of recurrence and complications. It is relatively less invasive and can be used in high risk patients.
Assuntos
Hematoma Subdural Crônico/cirurgia , Sucção/métodos , Idoso , Idoso de 80 Anos ou mais , Craniotomia , Feminino , Seguimentos , Hematoma Subdural Crônico/diagnóstico , Hematoma Subdural Crônico/etiologia , Humanos , Masculino , Recidiva , Reoperação , Estudos Retrospectivos , Sucção/efeitos adversos , Resultado do TratamentoRESUMO
Two patients suffering from dystonia and athetosis have been treated by means of chronic electrical stimulation of the paleocerebellum and were followed for over two and a half years. One of the patients showed signs of slight improvement, while no improvement at all was observed in the other patient. Some observations and problems are discussed.
Assuntos
Atetose/terapia , Cerebelo , Distonia/terapia , Terapia por Estimulação Elétrica , Adulto , Cerebelo/fisiologia , Criança , Estimulação Elétrica , Humanos , MasculinoRESUMO
From 1955 to July 1978, 560 patients suffering from trigeminal neuralgia, who had not responded to medical treatment underwent various alternative procedures. Considering some of these to be out of date, some as showing too high a number of relapses and some as having potentially unjustified risks in an affection in itself not fatal, the authors report only the results observed in a series of 175 patients operated on by retrogasserian rhizotomy according to Frazier (1931), and the results of a series of 184 patients treated by controlled thermocoagulation according to Sweet and Wepsic (1974).
