The role of craniotomy and trephination in the treatment of chronic subdural hematoma.
The treatment of chronic subdural hematoma by craniotomy was the procedure of choice in the early part of this century. It has since been replaced by less invasive techniques but retains a limited role in the management of this condition. A new procedure involving a small craniectomy and marsupialization of the hematoma cavity to the temporalis muscle is described. The results of this treatment compare favorably with the more commonly performed drainage methods.
Voelker
J L
JL
Department of Neurosurgery, West Virginia University School of Medicine, Morgantown 26506-9183, USA. jvoelker@hsc.wvu.edu
Sambasivan
M
M
D003399:Craniotomy; D004322:Drainage; D004388:Dura Mater / Q000601:surgery; D004564:Electrocoagulation; D005500:Follow-Up Studies; D020200:Hematoma, Subdural, Chronic / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D012008:Recurrence; D013536:Suture Techniques; D013703:Temporal Muscle / Q000601:surgery; D014207:Trephining