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Neuropsych Dis Treat · Jan 2019
Evacuation of chronic and subacute subdural hematoma via transcranial neuroendoscopic approach.
- Qiang Cai, Qiao Guo, Fan Zhang, Daofa Sun, Wenfei Zhang, Baowei Ji, Zhibiao Chen, and Shanping Mao.
- Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, Hubei Province 430060, China Email cqno@sina.com.
- Neuropsych Dis Treat. 2019 Jan 1; 15: 385-390.
ObjectiveTo evaluate the effectiveness and safety of neuroendoscopic surgery for chronic or subacute subdural hematoma.Patients And MethodsBetween September 2016 and September 2018, neuroendoscopic surgery was performed on 25 patients with chronic and subacute subdural hematoma. Hematoma evacuation was performed with a 0°, 4 mm diameter rigid neuroendoscope via a transcranial neuroendoscopic approach.ResultsAll patients successfully underwent neuroendoscopic surgery, and no surgical complications or rebleeding was observed. Postoperative computed tomography scans showed that the hematoma was successfully evacuated. All patients had recovered well at discharge, the observed 30-day mortality rate was 0%, and no patients suffered recurrence for 2-26 months after surgery.ConclusionNeuroendoscopic surgery was a safe and effective approach for the treatment of chronic and subacute subdural hematoma. This approach has the advantages of decent visualization and minimal invasiveness and could reduce recurrence and the mortality rate.
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