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J Clin Neurosci. 2013 Dec;20(12):1751-3. doi: 10.1016/j.jocn.2013.02.019. Epub 2013 Aug 17.

Endoscopic burr hole evacuation of an acute subdural hematoma.

Author information

1
Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, WHT 502, Boston, MA 02114-2698, USA. Electronic address: pcodd@partners.org.

Abstract

Acute subdural hematoma evacuations frequently necessitate large craniotomies with extended operative times and high relative blood loss, which can lead to additional morbidity for the patient. While endoscopic minimally invasive approaches to chronic subdural collections have been successfully demonstrated, this technique has not previously been applied to acute subdural hematomas. The authors report their experience with an 87-year-old patient presenting with a large acute right-sided subdural hematoma successfully evacuated via an endoscopic minimally invasive technique. The operative approach is outlined, and the literature on endoscopic subdural collection evacuation reviewed.

KEYWORDS:

Endoscopic; Minimally invasive neurosurgery; Subdural hematoma

PMID:
23962631
DOI:
10.1016/j.jocn.2013.02.019
[Indexed for MEDLINE]

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