Comparison of irrigation versus no irrigation during burr hole
evacuation of chronic subdural hematoma.
While doing such procedures there is a chance to violate and go to supratentorial compartment if the burr holes
are not appropriately placed.
Previous publications suggested that craniotomy is superior to burr holes
for SDE., Burr-hole drainage has a high recurrence rate and may cause damage to friable hyperemic cortex from the catheter, wash solution, or antibiotics.
Transient Facial Nerve Palsy After the Scalp Block for Burr Hole
Evacuation of Subdural Hematoma.
During the same session, burr hole
drainage was also performed to discharge the accumulated air.
The case underwent burr hole
drainage and 40 mL of purulent material was drained.
Various types of shunts were used according to urgency, availability and priority of the scalp condition ranging from Pudenz burr hole
valve tolow-profile delta valve and Chhabra valve.
In mild cases where symptoms have become evident, a small "burr hole
" may be drilled through the skull to drain the accumulated blood.
He was managed by emergency burr hole
placement in bilateral frontal and parietal region with evacuation of altered subdural blood, irrigation with ringer lactate solution and placement of subdural drainage tubes, which were connected to closed drainage system and were removed after 72 h.
Vagal mediated reflex was also thought to attribute to some cases which presented with changes in heart rate, hypotension, ST-elevation, and even ventricular fibrillation during drilling for burr hole
A brain surgeon will have drilled a burr hole
or removed a piece of skull and sucked up the clot, then tied any bleeding vessels and repaired the scalp.