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CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(02): 485-486
DOI: 10.4103/ajns.AJNS_230_16
Case Report

Safe use of tissue plasminogen activator in conjunction with the integra camino bolt for the drainage of chronic subdural hematoma

Ninh Doan
Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin
,
Mohit Patel
Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin
,
Ha Nguyen
Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin
,
Hayley Doan
Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin
,
Andrew Montoure
Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin
,
Saman Shabani
Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin
,
Michael Gelsomino
Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin
,
Karl Janich
Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin
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Chronic subdural hematoma (CSDH) is a relatively common condition encountered in a neurosurgical practice. There have been increased efforts in creating different treatment regimens for CSDH to improve patients' outcomes, including the addition of tissue plasminogen activator (tPA) in drains to reduce recurrences. Here, we present the first case report of the safe use of tPA in conjunction with an Integra Camino bolt for maximized drainage of CSDH with a successful neurological recovery and the complete resolution of the hematoma.

Key-words:

Chronic subdural hematoma - integra camino bolt - subdural evacuating port system - surgical decompression - traumatic brain injury


Publication History

Article published online:
14 September 2022

© 2018. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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