Frontal small craniostomy and irrigation for treatment of chronic subdural haematoma

Abstract

A new surgical method for the treatment of chronic subdural haematoma is presented. A small craniostomy is made on the superior lateral angle of the forehead just beneath the hair line without hair removal using a high-speed drill. Through this aperture, evacuation and irrigation of the haematoma can be carried out safely. No infections occurred in a series of patients treated in this way, and the recurrence rate was 10% (2/20). The surgical wound was negligible. Because of its simplicity, and the lack of a need for hair removal, the procedure appears to be acceptable as an optional therapeutic modality.

• Chronic Subdural Haematoma, Craniostomy, High-speed Drill, Surgical Treatment