• Tetsuya Ueba, Munenori Yasuda, and Tooru Inoue.
• Department of Neurosurgery, Fukuoka University School of Medicine, Fukuoka, Japan.
• J Neurol Surg A Cent Eur Neurosurg. 2015 Jan 1; 76 (1): 63-5.

BackgroundTraumatic 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.PatientAn 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.ResultsEndoscopic 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.ConclusionEndoscopic 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.Georg Thieme Verlag KG Stuttgart · New York.

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