Efficacy analysis of neuroendoscopy-assisted burr-hole evacuation for chronic subdural hematoma: a systematic review and meta-analysis

Wu, Liang; Guo, Xufei; Ou, Yunwei; Yu, Xiaofan; Zhu, Bingcheng; Yang, Cheng; Liu, Weiming

doi:10.1007/s10143-023-02007-2

Cited by 7 publications

(2 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the majority of neurosurgical operations, the amount of air is small and rarely causes any neurological problems [4]. Symptomatic chronic subdural hematoma (CSDH) can be managed with a simple twist drill craniostomy or a formal craniotomy [5][6][7]. The possibility of reaccumulation should be high in patients who do not recover well after surgery [5,7].…”

Section: Introductionmentioning

confidence: 99%

“…Symptomatic chronic subdural hematoma (CSDH) can be managed with a simple twist drill craniostomy or a formal craniotomy [5][6][7]. The possibility of reaccumulation should be high in patients who do not recover well after surgery [5,7]. One of the uncommon but underestimated causes of postsurgical delayed recovery in CSDH cases is tension pneumocephalus [4,7].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Tension pneumocephalus as a complication of surgical evacuation of chronic subdural hematoma: case report and literature review

Azab,

Hazem,

Lucke-Wold

2023

Explor Neuroprot Ther

View full text Add to dashboard Cite

The management of symptomatic chronic subdural hematoma (CSDH) is surgical evacuation and prognosis in most cases is good. Tension pneumocephalus is the presence of air under pressure in the intracranial cavity. A case of tension pneumocephalus developing as a complication of burr hole evacuation of CSDH is illustrated. In this case, tension pneumocephalus was managed by reopening the wound and saline irrigation with a subdural drain placement. Considering this case report and after a careful review of the literature, the physiopathology, diagnosis, and treatment of this complication are highlighted in the article.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Tension pneumocephalus as a complication of surgical evacuation of chronic subdural hematoma: case report and literature review

Azab,

Hazem,

Lucke-Wold

2023

Explor Neuroprot Ther

View full text Add to dashboard Cite

show abstract

Comparative analysis of surgical techniques in the management of chronic subdural hematomas and risk factors for poor outcomes

Hounkpatin,

Stierer,

Frechon

et al. 2024

Neurosurg Rev

View full text Add to dashboard Cite

Background. Chronic subdural hematomas (CSDH) are increasingly prevalent, especially among the elderly. Surgical intervention is essential in most cases. However, the choice of surgical technique, either craniotomy or burr-hole opening, remains a subject of debate. Additionally, the risk factors for poor longterm outcomes following surgical treatment remain poorly described.Methods. This article presents a 10-year retrospective cohort study conducted at a single center that aimed to compare the outcomes of two common surgical techniques for CSDH evacuation: burr hole opening and craniotomy. The study also identi ed risk factors associated with poor long-term outcome, which was de ned as an mRS score ≥ 3 at 6 months.Results. This study included 582 adult patients who were surgically treated for unilateral CSDH. Burr-hole opening was performed in 43% of the patients, while craniotomy was performed in 57%. Recurrence was observed in 10% of the cases and postoperative complications in 13%. The rates of recurrence, postoperative complications, death and poor long-term outcome did not differ signi cantly between the two surgical approaches. Multivariate analysis identi ed postoperative general complications, recurrence, and preoperative mRS score ≥ 3 as independent risk factors for poor outcomes at 6 months. Conclusion.Burr-hole opening is as effective and less invasive than craniotomy and should be preferred. Although chronic subdural hematoma is often considered benign, general complication and recurrence are signi cant long-term prognostic factors that should not be overlooked. Our results highlight the importance of preventing postoperative complications through early mobilization and avoiding the prescription of corticosteroids in this elderly population.

show abstract

Neuroendoscopy: How We Got Here

Tosi,

Guadix,

Cohen

et al. 2023

World Neurosurgery

View full text Add to dashboard Cite

Efficacy analysis of neuroendoscopy-assisted burr-hole evacuation for chronic subdural hematoma: a systematic review and meta-analysis

Cited by 7 publications

References 46 publications

Tension pneumocephalus as a complication of surgical evacuation of chronic subdural hematoma: case report and literature review

Tension pneumocephalus as a complication of surgical evacuation of chronic subdural hematoma: case report and literature review

Comparative analysis of surgical techniques in the management of chronic subdural hematomas and risk factors for poor outcomes

Neuroendoscopy: How We Got Here

Contact Info

Product

Resources

About