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 dodge challenger fog light cover 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 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 may represent topo designs cooler bag a viable method to address traumatic intracranial hematomas in some patients.