Assessment the Efficacy of Subgaleal Drain after Burr-Hole Evacuation of Chronic Subdural Hematoma

Saood, Hassan Ateeyah; Ebrahim, Abd El-Kafy Sharaf El-Din; Albialy, Mohammad Abdulaziz

doi:https://doi.org/10.21608/aimj.2025.446650

Assessment the Efficacy of Subgaleal Drain after Burr-Hole Evacuation of Chronic Subdural Hematoma

Document Type : Original Article

Authors

¹ MBBCh, Faculty of Medicine, Elmergib University, Libya, Visiting Doctor in the Neurosurgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt;

² Professor of Neurosurgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt;

³ Lecturer of Neurosurgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt;

https://doi.org/10.21608/aimj.2025.446650

Abstract

Background: One of the most prevalent conditions affecting neurosurgeons is chronic subdural hematoma (CSDH), which is defined as an abnormal accumulation of liquified blood underneath the dura mater's innermost layer.
Aim: To assess the subgaleal drain's (SGD) effectiveness and safety following the burr hole evacuation of a CSDH.
Methods: This retrospective and prospective study was carried out on 60 patients with CSDH underwent burr hole evacuation at Al-Azhar University Hospital. All patients were assessed clinically by using modified Rankin scale (mRS).
Results: There was statistically significant difference between studied variables regarding Bilateral CSDH. When it came to recurrence and total resolution, the variables that were evaluated differed significantly.
Conclusions: The SGD system is technically easy to implement, has a low recurrence risk, and is relatively safe. This technique eliminates the possibility of acute cerebral bleeding by positioning the drainage tube so that it does not come into direct contact with the brain tissue and membranes of CSDH. Thus, the SGD system is useful for patients with a higher risk of complications.

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