scholarly journals Minimum Invasive Treatment for Chronic Subdural Hematoma : Replacement of Hematoma with Oxygen through Percutaneous Subdural Tapping : Technical Note

2014 ◽  
Vol 23 (3) ◽  
pp. 249-255
Author(s):  
Nobuhiko Aoki ◽  
Takaharu Okada
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Technical Note ◽  
Invasive Treatment ◽  
Subdural Tapping

Chronic subdural hematoma in infancy

1990 ◽  
Vol 73 (2) ◽  
pp. 201-205 ◽  
Author(s):  
Nobuhiko Aoki
Keyword(s):  
Computerized Tomography ◽  
Subdural Hematoma ◽  
Treatment Protocol ◽  
Chronic Subdural Hematoma ◽  
Neurological Deficits ◽  
Acute Subdural Hematoma ◽  
Hemorrhagic Diathesis ◽  
Content Type ◽  
Fine Print ◽  
Subdural Tapping

✓ The cases of 30 infants with chronic subdural hematoma treated surgically between 1978 and 1987 (after the introduction of computerized tomography) were reviewed. This series was limited to infants presenting with increased intracranial pressure, neurological deficits, or developmental retardation. Nineteen patients were male and 11 were female, ranging in age from 1 to 14 months (average 6.1 months). The surgical treatment was initiated with percutaneous subdural tapping which was repeated periodically, if indicated, for 2 weeks. If the patients failed to respond to subdural tapping, subdural-peritoneal shunting was installed. The follow-up periods were from 3 months to 9 years 8 months (average 4 years 10 months). Computerized tomography at that time disclosed disappearance or minimal collection of subdural fluid in 28 cases (93%) and a significant collection (> 5 mm) in two (7%). Neurological examination revealed that the patients were “normal” in 17 cases (57%), “mildly or moderately disabled” in nine (30%), and “severely disabled” in four (13%). The majority of disabled patients had lesions secondary to infantile acute subdural hematoma, child abuse, or hemorrhagic diathesis. These results indicate that the treatment protocol in the present series is acceptable for the elimination of subdural hematoma. Together, early diagnosis and treatment of the etiological conditions causing the lesion are indispensable for obtaining a satisfactory neurological outcome.

scholarly journals Initial Hematoma Pressure and Clinical Recurrence of Chronic Subdural Hematoma in Cases where Percutaneous Subdural Tapping was Performed

2012 ◽  
Vol 21 (4) ◽  
pp. 330-334
Author(s):  
Akitake Okamura ◽  
Yukihiko Kawamoto ◽  
Hiroyuki Yoshioka ◽  
Taro Murakami ◽  
Koki Yonezawa
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Clinical Recurrence ◽  
Subdural Tapping

scholarly journals A novel application of the integra camino bolt for the drainage of chronic subdural hematoma: A technical note

2018 ◽  
Vol 13 (2) ◽  
pp. 380
Author(s):  
NinhB Doan ◽  
Ha Nguyen ◽  
Karl Janich ◽  
Andrew Montoure ◽  
Patel Mohit ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Technical Note

Transradial embolization of the left middle meningeal artery and accessory middle meningeal artery for treatment of subacute–chronic subdural hematoma

2020 ◽  
Vol 12 (4) ◽  
pp. 436-436 ◽  
Author(s):  
Gary B Rajah ◽  
Michael K Tso ◽  
Rimal Dossani ◽  
Kunal Vakharia ◽  
Adnan H Siddiqui
Keyword(s):  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Mass Effect ◽  
Middle Meningeal Artery ◽  
Vascular Lesion ◽  
External Carotid ◽  
Invasive Treatment ◽  
History Of ◽  
The Right ◽  
Meningeal Artery

This 52-year-old man with no remarkable medical history, no anticoagulation use, and no history of trauma was noted to have a subacute–chronic left subdural hematoma during outpatient headache evaluation. No occult vascular lesion or cross-calvarial supply of the right middle meningeal artery (MMA) to the left side was identified on bilateral selective external carotid injections. Because the patient preferred non-surgical management, we performed a left MMA embolization with Onyx 18 (Medtronic), utilizing a Headway Duo microcatheter (MicroVention) via the transradial route. A 6 French Benchmark (Penumbra) was utilized for transradial support into the left external carotid. The patient was discharged home the same day. Repeat scans from 2 to 6 weeks revealed complete resolution of the subdural hematoma. The patient’s headaches resolved. Transradial MMA embolization for subacute–chronic subdural hematoma represents a minimally invasive treatment option for mass effect and hemorrhage-related symptoms. Tailored embolizations are necessary when >1 meningeal vessel supplies the subdural hematoma.

Subdural Tapping and Irrigation for the Treatment of Chronic Subdural Hematoma in Adults

Neurosurgery ◽  
1984 ◽  
Vol 14 (5) ◽  
pp. 545-548 ◽  
Author(s):  
Nobuhiko Aoki
Keyword(s):  
Computed Tomography ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
New Technique ◽  
A New Technique ◽  
Subdural Tapping

Abstract A new technique for the treatment of chronic subdural hematoma by tapping and irrigation was shown by computed tomography to be safe and reliable in 39 patients. The basis for such treatment is discussed in light of the current theories of the pathogenesis of chronic subdural hematoma.

scholarly journals Time to Focus on the Scalp Incision Design for Chronic Subdural Hematoma: Technical Note and Experience

2021 ◽  
Author(s):  
Juexian Xiao ◽  
Yu Liu ◽  
Shikai Gui ◽  
Feng Wei ◽  
Tong Zhou ◽  
...  
Keyword(s):  
Wound Healing ◽  
Subdural Hematoma ◽  
Medical Records ◽  
Operative Procedure ◽  
Large Angle ◽  
Chronic Subdural Hematoma ◽  
Technical Note ◽  
Question Mark ◽  
Scalp Incision

Abstract Objective: The scalp incision design in surgery for chronic subdural hematoma (CSDH) is important but is given little attention or is neglected by most neurosurgeons currently. Faulty scalp incision design will affect the ease of surgery, wound healing, and patients’ satisfaction. This study introduces the technique and experience used in our center regarding scalp incision with an adjustable question mark-shaped for CSDH procedures.Methods: A retrospective analysis was conducted of the medical records of patients with CSDH, who underwent surgical treatment that incorporated this incision design from September 2017 through December 2020. The features of concern were intraoperative scalp incision extension and postoperative wound healing. Those patients were followed for occurrences of scalp dysfunction, and their satisfaction with this design.Results: Thirty-seven patients were analyzed. For 2 patients, operative procedures were changed and scalp incisions were extended. All patients had good incision healing without complications. The outpatient or telephone follow-up 6 months after surgery revealed that 36 patients were satisfied with the scalp incision design, one patient experienced widening of incision scar. Six patients (5 women and 1 man) reported cosmetic dissatisfaction, and 7 patients (six women and one man) had mild scalp dysfunction, in daily life.Conclusion: The adjustable question mark-shaped incision used for CSDHs is a fluent curve, with a large angle, and allows a flexible extension. It ensures ease of the operative procedure, good wound healing and meeting patients’ aesthetic needs. The protocol is simple, practical, and worthy of reference by neurosurgeons, especially in primary hospitals.

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