[Craniotomy for organized subdural hematoma].
We reported 3 cases of organized chronic subdural hematoma (CSDH), which required radical treatment by craniotomy. All patients were in the 70s (male, two; female, one). Two cases had previously received craniotomy and neck clipping for intracranial aneurysm. All of them received trephine evacuation of hematoma more than two times, although the hematoma was not removed due to organization. Because of this, we performed craniotomy and removal of the hematoma with its thick outer membrane. In order to obliterate the subdural space completely, we stripped the dura mater from the skull and attached it to the inner membrane with fibrine glue. After a period of more than two years of followed-up, no recurrences had been discovered.
Ohkawa
Toshika
T
Department of Neurological Surgery, Wakayama Medical University, Japan.
Ogura
Mitsuhiro
M
Tanaka
Sadayuki
S
Terada
Tomoaki
T
Itakura
Toru
T
D000368:Aged; D003399:Craniotomy / Q000379:methods*; D004388:Dura Mater / Q000601:surgery; D005260:Female; D020200:Hematoma, Subdural, Chronic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D014207:Trephining