Subscribe to RSS
DOI: 10.1055/s-0033-1358606
Endoscopic Burr Hole Surgery with a Curettage and Suction Technique to Treat Traumatic Subacute Subdural Hematomas
Publication History
22 February 2012
28 June 2013
Publication Date:
12 October 2014 (online)
![](https://www.thieme-connect.de/media/jnlsa/201501/lookinside/thumbnails/10.1055-s-0033-1358606-1.jpg)
Abstract
Background Traumatic subacute subdural hematomas can usually be evacuated via craniotomy under general anesthesia. We report a traumatic subacute subdural hematoma in an elderly patient that was evacuated by endoscopic burr hole surgery using a curettage and suction technique under local anesthesia. This minimally invasive neurosurgery may lower the morbidity rate in elderly or sick patients with serious cardiac and/or pulmonary lesions in whom the inherent risks of general anesthesia are high.
Patient An 88-year-old man was referred to our institution with left hemiparesis 6 days after sustaining a head injury. He was on antiplatelet drugs for severe coronary and peripheral artery disease and underwent hemodialysis three times a week.
Results Endoscopic burr hole surgery using a curettage and suction technique resulted in the complete evacuation of his subacute subdural hematoma and complete hemostasis, and he recovered completely.
Conclusion Endoscopic burr hole surgery using a curettage and suction technique is a minimally invasive treatment to address subacute subdural hematomas. This method may be particularly useful in older patients in whom general anesthesia poses additional risks.
-
References
- 1 Jeffree RL, Gordon DH, Sivasubramaniam R, Chapman A. Warfarin related intracranial haemorrhage: a case-controlled study of anticoagulation monitoring prior to spontaneous subdural or intracerebral haemorrhage. J Clin Neurosci 2009; 16 (7) 882-885
- 2 Asfora WT, Schwebach L. A modified technique to treat chronic and subacute subdural hematoma: technical note. Surg Neurol 2003; 59 (4) 329-332; discussion 332
- 3 Lollis SS, Wolak ML, Mamourian AC. Imaging characteristics of the subdural evacuating port system, a new bedside therapy for subacute/chronic subdural hematoma. AJNR Am J Neuroradiol 2006; 27 (1) 74-75
- 4 Kenning TJ, Dalfino JC, German JW, Drazin D, Adamo MA. Analysis of the subdural evacuating port system for the treatment of subacute and chronic subdural hematomas. J Neurosurg 2010; 113 (5) 1004-1010
- 5 Endo H, Fukawa O, Mashiyama S, Kawase M. Single burr hole surgery for acute spontaneous subdural hematoma in the aged: patient reports of three cases [in Japanese]. No Shinkei Geka 2004; 32 (3) 271-276