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Acta Neurochirurgica
Published in: Acta Neurochirurgica 12/2014

01-12-2014 | How I Do it - Neurosurgical Techniques

The minimally invasive endoscopic management of septated chronic subdural hematomas: surgical technique

Authors: M. Berhouma, T. Jacquesson, E. Jouanneau

Published in: Acta Neurochirurgica | Issue 12/2014

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Abstract

Background

Fibrin membranes and compartmentalization within the subdural space are a frequent cause of failure in the treatment of chronic subdural hematomas (CSH). This specific subtype of CSH classically requires craniotomy, which carries significant morbidity and mortality rates, particularly in elderly patients. In this work, we describe a minimally invasive endoscopic alternative.

Methods

Under local scalp anesthesia, a rigid endoscope is inserted through a parietal burr hole in the subdural space to collapse fibrin septa and cut the internal membrane. It also allows cauterization of active bleedings and the placement of a drain under direct visualization.

Conclusions

The endoscopic treatment of septated CSH represents a minimally invasive alternative to craniotomy especially for the internal membranectomy.
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Metadata
Title
The minimally invasive endoscopic management of septated chronic subdural hematomas: surgical technique
Authors
M. Berhouma
T. Jacquesson
E. Jouanneau
Publication date
01-12-2014
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 12/2014
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-014-2219-1

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