Craniotomy for Treatment of Chronic Subdural Hematoma.
Chronic subdural hematomas are commonly encountered pathologies in neurologic surgery. Primary management for a symptomatic lesion usually entails surgical intervention. There is controversy regarding ideal modality selection among twist drill craniostomy, bur hole craniostomy, and craniotomy. Variations of the craniotomy include a minicraniotomy (usually defined as 30-40 mm diameter), minicraniectomy, and with or without either a partial or full membranectomy. In addition to medical complications, potential surgical complications include recurrence, seizures, intraparenchymal hemorrhage, and infection. Prior studies are summarized as well as rates of mortality, morbidity, reaccumulation requiring repeat operation, and clinical outcomes.
Department of Neurological Surgery, Harborview Medical Center, University of Washington, 325 9th Avenue, Box 359924, Seattle, WA 98104, USA. Electronic address: abecassi@u.washington.edu.
Isaac Josh
IJ
Abecassis
Department of Neurological Surgery, Harborview Medical Center, University of Washington, 325 9th Avenue, Box 359924, Seattle, WA 98104, USA; Department of Radiology, Harborview Medical Center, University of Washington, 325 9th Avenue, 1st floor, 1 West Hospital, Seattle, WA 98104, USA.
Louis J
LJ
Kim
D000368:Aged; D000075202:Contraindications; D003399:Craniotomy / Q000379:methods*; D005260:Female; D020200:Hematoma, Subdural, Chronic / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D056888:Patient Positioning; D011183:Postoperative Complications / Q000517:prevention & control; D011300:Preoperative Care; D012008:Recurrence; D016896:Treatment Outcome
Burr hole craniostomy; Chronic subdural hematoma; Craniotomy