Skip to main content
OpenTrials
Completed

NCT Number: NCT07368101

Outcome of Chronic Subdural Hematoma Management With Double Burr Hole Craniotomy Versus Single Burr Hole Craniotomy and Subdural Drain Evacuation

The goal of this clinical trial is to compare the outcome of double burr hole versus single burr hole in patients of chronic subdural hematoma undergoing subdural drain evacuation.

The main questions it aims to answers are

1. Which one of the surgical method i.e single burr hole or double burr hole is clinically superior with better post operative prognosis for the drainage of chronic subdural hematoma.

2 Compare the post operative complications in both the techniques in term of wound infection hospital stay duration , recurrence and mortality.

participants will be divided in two groups one group will be treated with single burr hole technique second group will be treated with double burr hole technique.

After procedure, patients will be followed-up in hospital until discharge and total hospital stay will be noted. Patients will be followed-up further in OPD . During follow-up, patients will be evaluated for wound infection, recurrence and mortality.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Chronic Subdural Hematoma Brain Diseases Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Chronic Disease Craniocerebral Trauma Disease Attributes Hematoma Hematoma, Subdural Hematoma, Subdural, Chronic Hemorrhage Intracranial Hemorrhage, Traumatic Intracranial Hemorrhages Nervous System Diseases Pathologic Processes Pathological Conditions, Signs and Symptoms Trauma, Nervous System Vascular Diseases Wounds and Injuries

Age range

20 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Services Institute of Medical Sciences / Services Hospital

Lahore, Punjab Province, 54770, Pakistan

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients aged 20-70 years both genders diagnosed with subdural hematoma

Exclusion criteria

  • • Patients in shock (BP≤100/60 mmHg) or history of seizures
  • Patients with bleeding disorder (PT>15 sec) or intake of anti-coagulants
  • Patients undergoing or already had ventriculoperitoneal shunt
  • Patients with epilepsy, or obsessive compulsive decoder
  • Patients with already operated for subdural hematoma
  • Patients with post-cerebrospinal fluid diversion subdural hematoma

Treatment and study plan

Single Burr hole Craniotomy

Procedure

Single Burr hole made at the point of highest collection of hematoma in subdural space in brain.

Double Burr hole Craniotomy

Procedure

Two burr hole made in skull each at parietal eminence and around superior temporal line to drain chronic subdural hematoma

Primary outcomes

  1. Recurrence Of Chronic Subdural Hematoma

    Time frame: From date of surgery until radiologically confirmed recurrence (defined as subdural hematoma volume >15 mL or significant mass effect on CT brain) requiring repeat intervention, assessed up to 3 months postoperatively

    recurrence rate of chronic subdural hematoma evaluated if volume of sdh >15ml or significant mass effect on CT brain within 3 months post operatively

  2. quantity of hematoma evacuated

    Time frame: Measured intraoperatively at the time of surgery and cumulatively measured postoperatively from surgery until removal of the subdural drain, assessed up to 72 hours postoperatively.

    Intraoperatively evacuated hematoma quantity measured in millilitres and also includes the quantity obtained in subdural drain till 72 hours postoperatively

Sponsors and collaborators

Lead sponsor

Services Institute of Medical Sciences, Pakistan

Other Gov

Registry information

Official study title

Outcome of Chronic Subdural Hematoma: Double Burr Hole Versus Single Burr Hole With Subdural Drain Evacuation

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Jan 26, 2026
Registry last updated
Jan 26, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.