Özet:

Purpose: The relationship between the development of chronic subdural hematom (KSDH), which is common and has an increased incidence in the elderly population, anticoagulant and / or antiagregant treatment and trauma and recurrence has been studied. Tools and Methods: In our clinic, the files of the phenomena diagnosed with CSDH and surgically treated between January 2015 and January 2018 were examined retrospectively. Age, gender, head trauma, anticoagulant and / or antiagregant drug treatment and accompanying disease, condition of compounding, lateralization neurological findings, surgical method and recurrence have been studied. Results: 104 facts (79 men, 25 women) participated in the study. The average age of patients was 67.7 ± 15.6 (20-94 years of age). 67 (6.4%) were over the age of 65. 29 (27.9 percent) of patients had focal neurological deficit. The history of trauma was present in 71 cases (68.3%), 57 of the patients (54.8%) had a chronic disease. 81 cases (77.9%) were treated with single or double burr-hole craniostomy. Result: This study found that the frequency of trauma in KSDH was quite high. There was no difference between the use of anticoagulant/antiagregan drugs and the presence of comorbid disease in groups with and without trauma. It has been shown that the rate is similar to literature and its surgical results are successful.   Keywords: Burr-hole craniostomy, chronic subdural hematom, surgery, trauma ABSTRACT OBECTIVE: Chronic subdural hematom (CSDH) development is very common among older population with an increased incidence under anticoagulant and/or antiaggregant therapy. The relationship of CSDH and recurrent CSDH development with or without head trauma under anticoagulant/antiaggregant medication was investigated. MATERIAL AND METHODS: The patients diagnosed as CSDH in our clinic between January 2015 and January 2018 were investigated retrospectively. Age, sex, head trauma, anticoagulant and/or antiaggregant medications, comorbid diseases, coagulation parameters, neurological findings, surgical method and recurrence of CSDH were documented. Results: 104 cases (79 males, 25 females) were included in the study. The average age of the patients was 67.7 ± 15.6 (20-94 years). 67 (64.4%) were over 65 years old. 29 (27.9%) patients had focal neurological deficits. 71 cases (68.3%) were traumatic and 57 (54.8%) of the patients had a chronic disease. 81 cases (77. 9%) were treated with single or double burr-hole craniostomy. CONCLUSIONS: In this study, trauma frequency was found to be quite high in CSDH. There was no difference between trauma and non-trauma groups for the presence of anticoagulant and/or antiaggregant medication and for the presence of comorbid disease. The recurrence rate was similar to the literature and surgical results were found to be successful. Keywords: Burr-hole craniostomy, chronic subdural hematoma, surgery, trauma

Anahtar Kelimeler: