<p>Evacuation of chronic and subacute subdural hematoma via transcranial neuroendoscopic approach</p>

Abstract

ObjectiveTo evaluate the effectiveness and safety of neuroendoscopic surgery for chronic or subacute subdural hematoma.Patients and methodsBetween September 2016 and September 2018, neuroendoscopic surgery was performed on 25 patients with chronic and subacute subdural hematoma. Hematoma evacuation was performed with a 0°, 4 mm diameter rigid neuroendoscope via a transcranial neuroendoscopic approach.ResultsAll patients successfully underwent neuroendoscopic surgery, and no surgical complications or rebleeding was observed. Postoperative computed tomography scans showed that the hematoma was successfully evacuated. All patients had recovered well at discharge, the observed 30-day mortality rate was 0%, and no patients suffered recurrence for 2–26 months after surgery.ConclusionNeuroendoscopic surgery was a safe and effective approach for the treatment of chronic and subacute subdural hematoma. This approach has the advantages of decent visualization and minimal invasiveness and could reduce recurrence and the mortality rate.

Neuroendoscopic Approach of a Massive Bilateral Chronic Subdural Hematoma in a Child Using a Single Burr Hole

“…In this case, we selected neuroendoscopy because of the massive collection of fluid in the subdural space. In addition, few studies have reported its use in drainage of chronic subdural hematomas [ 2 - 5 , 8 ]. To our knowledge, this is the second report of the use of neuroendoscopy to approach massive bilateral chronic subdural hematomas in children [ 2 ].…”

“…In our patient, we observed a laceration in the arachnoid membrane and a clot adhering to the brain surface, showing the origin of the injury. In addition, neuroendoscopy ensures complete drainage of the hematoma [2][3][4][5]8].…”

“…A few studies have also reported neuroendoscopy for evaluating chronic subdural hematomas [2][3][4]. The main advantages of neuroendoscopy are accurate visualization of the subdural space and minimal invasiveness [5].…”

Minimal Invasive Surgery for Chronic Subdural Hematoma

“…However, a higher death risk was found in populations with coagulopathies. 11 The preferred surgical therapy is puzzling. There is a lack of agreement among various surgeons on treatment methods for CSDH.…”

Endoscopically Treated Subacute Subdural Hematoma Presenting Postoperative Cerebral Hyperperfusion Syndrome: Chronological Changes of Cerebral Blood Flow on Arterial Spin Labeling and Subcortical Low Intensity on Fluid-attenuated Inversion Recovery Images

“…Recently, in addition to ASDH 26) and CSDH, 11) reports about endoscopic hematoma removal with small craniotomy for SASDH have been increasing. [27][28][29][30][31][32][33][34][35] This minimally invasive surgery could address the disadvantages of craniotomy, such as massive blood loss and the side effects of the general anesthesia, especially for the elderly with multiple comorbidities. Also, our endoscopic procedure reduces the operative time as 46 minutes, with a small bleeding amount of 10 mL.…”