The Finnish Study of Intraoperative Irrigation Versus Drain Alone After Evacuation of Chronic Subdural Hematoma (FINISH)

Exclusion Criteria

• •CSDH requiring surgical treatment other that burr-hole evacuation (e.g. craniotomy)
• •CSDH in a patient who has a cerebrospinal fluid shunt
• •Patients who have undergone any intracranial surgery before
• •Comatose patients (GCS 8 or lower) with absent motor responses to painful stimuli; decerebrate or decorticate posturing
• •Patient's postoperative cooperation is suspected to be insufficient for drain usage, i.e. disoriented or semiconscious patient
• •Patient has a hematogenic malignancy that has obtained active treatment within the previous five years
• •Patient has a central nervous system tumor or malignancy
• •Patient has acute infection with fever and requires antibiotic treatment at the moment
• •Patient has a high risk of life-threatening thrombosis (e.g. recent coronary stent, recent pulmonary embolism, low cardiac valve replacement) and discontinuation of antithrombotic medication is not recommended