Surgical techniques for evacuation of chronic subdural hematoma: a mini-review

Benjamin Rodriguez, Isabella Morgan, Tirone Young, Joseph Vlastos, Tyree Williams, Eugene I. Hrabarchuk, Jaden Tepper, Turner Baker, Christopher P. Kellner, Joshua Bederson, Benjamin I. Rapoport

Research output: Contribution to journalShort surveypeer-review

Abstract

Chronic subdural hematoma is one of the most common neurosurgical pathologies with over 160,000 cases in the United States and Europe each year. The current standard of care involves surgically evacuating the hematoma through a cranial opening, however, varied patient risk profiles, a significant recurrence rate, and increasing financial burden have sparked innovation in the field. This mini-review provides a brief overview of currently used evacuation techniques, including emerging adjuncts such as endoscopic assistance and middle meningeal artery embolization. This review synthesizes the body of available evidence on efficacy and risk profiles for each critical aspect of surgical technique in cSDH evacuation and provides insight into trends in the field and promising new technologies.

Original languageEnglish
Article number1086645
JournalFrontiers in Neurology
Volume14
DOIs
StatePublished - 2023

Keywords

  • MMA embolization
  • burr hole and drainage
  • craniotomy
  • endoscope assistance
  • subdural evacuating port system (SEPS)
  • surgical techinque
  • twist drill craniostomy

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