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J Neurol Surg A Cent Eur Neurosurg 2015; 76(01): 63-65
DOI: 10.1055/s-0033-1358606
Technical Note
Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Burr Hole Surgery with a Curettage and Suction Technique to Treat Traumatic Subacute Subdural Hematomas

Tetsuya Ueba
1   Department of Neurosurgery, Fukuoka University School of Medicine, Fukuoka, Japan
,
Munenori Yasuda
1   Department of Neurosurgery, Fukuoka University School of Medicine, Fukuoka, Japan
,
Tooru Inoue
1   Department of Neurosurgery, Fukuoka University School of Medicine, Fukuoka, Japan
› Author Affiliations
Further Information

Publication History

22 February 2012

28 June 2013

Publication Date:
12 October 2014 (online)

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Abstract

Background Traumatic subacute subdural hematomas can usually be evacuated via craniotomy under general anesthesia. We report a traumatic subacute subdural hematoma in an elderly patient that was evacuated by endoscopic burr hole surgery using a curettage and suction technique under local anesthesia. This minimally invasive neurosurgery may lower the morbidity rate in elderly or sick patients with serious cardiac and/or pulmonary lesions in whom the inherent risks of general anesthesia are high.

Patient An 88-year-old man was referred to our institution with left hemiparesis 6 days after sustaining a head injury. He was on antiplatelet drugs for severe coronary and peripheral artery disease and underwent hemodialysis three times a week.

Results Endoscopic burr hole surgery using a curettage and suction technique resulted in the complete evacuation of his subacute subdural hematoma and complete hemostasis, and he recovered completely.

Conclusion Endoscopic burr hole surgery using a curettage and suction technique is a minimally invasive treatment to address subacute subdural hematomas. This method may be particularly useful in older patients in whom general anesthesia poses additional risks.

Keywords

subacute subdural hematoma - endoscope - curettage and suction technique - minimally invasive neurosurgery
 

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