Chronic Subdural Haematoma: A Comparative Study of Burr-Hole Craniostomy and Small Craniotomy in a Tertiary Care Teaching Hospital

Chronic subdural haematoma (cSDH) has been defined as a encapsulated collection of old liquefied haematoma in the subdural space with a characteristic outer and inner membrane and occurring, if at all associated with, at least 3 weeks after head injury. It is one of the most common pathological conditions presenting to the neurosurgical emergency with an incidence of 1-2 per 100,000, having a predilection for elderly males,1. Although burr-hole craniostomy has been the most commonly used procedure for this condition, there has been no consensus regarding the best surgical procedure for treating these lesions 2.In this paper we report our 4 year experience with burr hole craniostomy and small craniotomy in the management of cSDH at a tertiary care hospital in India.