• Xuemeng Liu, Yongyi Qiu, Jibo Zhang, Qingwen Zhang, Lin Chen, Lizhu Chen, and Xiangyu Sun.
• Department of Neurosurgery, FeiXian People Hospital, FeiXian, China.
• World Neurosurg. 2018 Dec 1; 120: e1024-e1030.

ObjectiveTo investigate the clinical benefits of emergent single burr hole evacuation technology in traumatic acute subdural hematoma (ASDH) with cerebral herniation cases.MethodsWe conducted a review comparing patients with ASDH with cerebral herniation who underwent single burr hole evacuation followed by decompressive craniectomy and intracranial hematoma removal surgery (n = 45, group A) and those who underwent decompressive craniectomy and intracranial hematoma removal surgery after rapid infusion of mannitol 250 mL (n = 53, group B) in our institution. Pre- and postoperative assessments included Glasgow Coma Scale (GCS), Glasgow Outcome Scale (GOS), activities of daily living (ADLs), and common complication incidences.ResultsAt 1 and 6 months after operation, the median GCS score of group A was significantly higher than group B (P = 0.04 and P = 0.03, respectively). After 6 months, the GOS score and ADLs between the 2 groups had significant differences (P < 0.05). There were no differences between the 2 groups in the common complication incidences.ConclusionsEmergent single burr hole evacuation in combination with decompressive craniectomy surgery is a useful treatment for ASDH with cerebral herniation, which can achieve reduction of intracranial pressure as soon as possible and improve the prognosis.Copyright © 2018 Elsevier Inc. All rights reserved.

33 keywords...

hide…