Chronic subdural haematoma (CSDH) is one of the common problems seen in Neurosurgical practice. There are many surgical options available including twist drill drainage, burr hole drainage and craniotomy. Majority of neurosurgeons use burr hole drainage. Even in this, there is a controversy whether to use single or two burr holes, whether to use irrigation or not, whether to use drains or not and the type of drain and so on. Only very few studies using the subgaleal drain for treatment of CSDH are available in the literature.
Thirty two cases of Chronic Subdural Haematoma have been analysed in this prospective observational study over a three year period. The use of Subgaleal drainage system was utilised in all the cases and the various pros and cons of the use the subgaleal drain in the treatment of Chronic Subdural Haematoma were analysed and it was concluded that Subgaleal drainage system should be considered as a safe, simple and effective alternate to Subdural, Subperiosteal Drainage system in the treatment of Chronic Subdural Haematoma.
This is only the third study in available literature for the use of subgaleal closed system drainage for Chronic Subdural Haematoma.

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