The surgical management of chronic subdural hematoma

2011 ◽  
Vol 35 (2) ◽  
pp. 155-169 ◽  
Author(s):  
Andrew F. Ducruet ◽  
Bartosz T. Grobelny ◽  
Brad E. Zacharia ◽  
Zachary L. Hickman ◽  
Peter L. DeRosa ◽  
...  
Keyword(s):  
Surgical Management ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma

scholarly journals Erratum to: The surgical management of chronic subdural hematoma

2015 ◽  
Vol 38 (4) ◽  
pp. 771-771 ◽  
Author(s):  
Andrew F. Ducruet ◽  
Bartosz T. Grobelny ◽  
Brad E. Zacharia ◽  
Zachary L. Hickman ◽  
Peter L. DeRosa ◽  
...  
Keyword(s):  
Surgical Management ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma

Craniotomy Does Have its Share in the Management of Chronic Subdural Hematoma

2018 ◽  
Vol 15 (02/03) ◽  
pp. 057-061 ◽  
Author(s):  
Shashank Sah ◽  
Divyant Rawal
Keyword(s):  
Surgical Management ◽  
Surgical Approach ◽  
Subdural Hematoma ◽  
Surgical Planning ◽  
Surgical Intervention ◽  
Chronic Subdural Hematoma ◽  
Consecutive Series ◽  
Resonance Imaging ◽  
Primary Procedure ◽  
Cerebral Parenchyma

Abstract Background Burr hole drainage (BHD) is the most popular technique for surgical management of chronic subdural hematoma (CSDH) and is able to successfully address the problem in majority of patients. However, in a select few cases, the formation of subdural membrane necessitates a wider surgical approach to relieve the compressed cerebral parenchyma. We evaluated the need for craniotomy and associated issues in management of CSDH in a consecutive series of 114 patients. Material and Method Data of 114 patients, who underwent surgical management of CSDH in our neurosurgical unit were analyzed. We specifically looked for the cases requiring craniotomy, it's indication and surgical outcome. Results Craniotomy was required in 12 patients (8.6%)—as primary procedure in 8 patients and as add-on secondary procedure in 4 patients. Clinical outcome was good. Mild subdural bleed, not requiring any surgical intervention, was observed in two patients as postoperative complication. There was no mortality. Conclusion In the presence of thick subdural membranes, BHD alone may not help relieve the cerebral compression. Wider surgical approach in form of craniotomy and membranectomy is the answer in such situations and can be safely performed with low complications. Good quality computed tomography and magnetic resonance imaging are essential in preoperative identification of membrane and appropriate surgical planning.

scholarly journals Spontaneous chronic subdural hematoma in a young male patient: case report

2014 ◽  
Vol 21 (2) ◽  
pp. 239-244
Keyword(s):  
Case Report ◽  
Elderly Patients ◽  
Surgical Management ◽  
Male Patient ◽  
Subdural Hematoma ◽  
Young Patients ◽  
Chronic Subdural Hematoma ◽  
Young Male ◽  
Patient Case ◽  
History Of

Abstract The chronic subdural hematoma is a common pathology in elderly patients. There is usually a history of head trauma. The diagnosis of chronic subdural hematomas in young patients is very rare and few cases have been reported in the literature. The authors present a case of a patient of 16 years old who presented headache of two months of evolution, which was conducted by tomography diagnosis of chronic subdural hematoma. The patient had no history of mild trauma. Surgical management was performed, showing a satisfactory evolution.

Surgical Management Outcomes of Our Cases with Chronic Subdural Hematoma

2014 ◽  
Vol 4 (1) ◽  
pp. 36-41
Author(s):  
Erhan Celikoglu ◽  
Merih Is ◽  
Mesut Yilmaz ◽  
Ilker Kiraz ◽  
Ali Fatih Ramazanoglu ◽  
...  
Keyword(s):  
Surgical Management ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma

scholarly journals Surgical Management of Chronic Subdural Hematoma in Older Adults: A Systematic Review

2020 ◽  
Author(s):  
Nathan A Shlobin ◽  
Jayanidhi Kedda ◽  
Danielle Wishart ◽  
Roxanna M Garcia ◽  
Gail Rosseau
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Surgical Management ◽  
Subdural Hematoma ◽  
Full Text ◽  
Antiplatelet Agent ◽  
Chronic Subdural Hematoma ◽  
Antiplatelet Agents ◽  
Neurologic Outcomes ◽  
Increased Risk

Abstract Background Chronic subdural hematoma (cSDH) is a form of intracranial hemorrhage common in older adults. Optimal treatment remains controversial. We conducted a systematic review to identify surgical thresholds, characterize outcomes, and delineate critical considerations in the surgical management of older adults in order to summarize the evidence supporting the best contemporary management of cSDH. Methods A systematic review exploring surgical management of cSDH among individuals aged 65 years and older was conducting by searching the PubMed, Embase, and Scopus databases for articles in English. Abstracts from articles were read and selected for full-text review according to a priori criteria. Relevant full-text articles were analyzed for bibliographic data, aim, study design, population, interventions, and outcomes. Results Of 1473 resultant articles, 21 were included. Surgery rationale was case-by-case for symptomatic patients with cSDH. Surgery was superior to conservative management and promoted equivalent neurologic outcomes and rates of complications. Recurrence and reoperation rates in older adults were similar to younger individuals. Some studies reported higher mortality rates for older adults, while others reported no difference. Anticoagulation or antiplatelet agent use did not seem to be associated with poorer outcomes in older adults. Conclusions Surgery for cSDH in older adults leads to favorable neurologic outcomes without increased risk of overall complications, recurrence, or reoperation compared to younger patients. However, older adults may be at increased risk for mortality after surgery. It is important to determine use of anticoagulant or antiplatelet agents in older adults to optimally manage patients with cSDH.

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