Endoscopic evacuation of septated chronic subdural hemorrhage - Technical considerations, results, and outcome.

ABSTRACT:

Background

Chronic subdural hematoma (cSDH) is a common entity in the elderly. Homogeneous or well-liquefied CSDH has a standard line of treatment through burr hole and irrigation. However, the management of septated chronic subdural hematoma (sCSDH) with multiple membranes does not have a well-defined surgical approach. The neomembranes forming septations prevent evacuation of clots through burr holes, and the small remaining loculi with clots will enlarge overtime to cause recurrence.

Methods

Patients with sCSDH were operated through a minicraniotomy (2.5 cm × 2.5 cm) using rigid endoscopes for visualization of the subdural space. Using endoscope, the entire subdural space can be visualized. The neomembranes are removed with standard neurosurgical microinstruments. The ent

SUBMITTER: Singh H 

PROVIDER: S-EPMC8813603 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature