Endoscopic Surgery for Traumatic Acute Subdural Hematoma

Endoscopic Surgery for Traumatic Acute Subdural Hematoma

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Traumatic acute subdural hematoma (ASDH) is generally addressed by craniotomy under general anesthesia.We report a patient whose traumatic ASDH was treated under local anesthesia by one-burr-hole endoscopic surgery.This 87-year-old woman had undergone coil embolization for a ruptured right middle-cerebral artery aneurysm and placement of a ventriculoperitoneal shunt for normal pressure hydrocephalus 5 years earlier.

Upon admission, she manifested consciousness disturbance after suffering head trauma and right hemiplegia.Her Glasgow Coma Scale score was 8 (E2V2M4).Computed tomography (CT) demonstrated a thick, left-frontotemporal ASDH.

Due to her advanced age and poor condition, we astros big chain necklace performed endoscopic surgery rather than craniotomy to evacuate the ASDH.Under local anesthesia, we made a burr hole in her left forehead and increased its size to 15 mm in diameter.After introducing a transparent sheath into the hematoma cavity with a rigid endoscope, the clot was evacuated with a suction tube.

The arterial bleeding point was electrically coagulated.A postoperative CT scan confirmed the reduction of the hematoma.There was neither brain compression nor brain swelling.

Her consciousness disturbance and right hemiplegia improved immediately.Endoscopic surgery nova medical products for sale in arizona may represent a viable method to address traumatic intracranial hematomas in some patients.