Evacuation of chronic and subacute subdural hematoma via transcranial neuroendoscopic approach

Abstract

Objective

To evaluate the effectiveness and safety of neuroendoscopic surgery for chronic or subacute subdural hematoma.

Patients and methods

Between 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.

Results

All 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.

Conclusion

Neuroendoscopic 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.

Keywords:

• subacute subdural hematoma
• chronic subdural hematoma
• transcranial neuroendoscopic approach

Acknowledgments

This work was supported by National Natural Science Foundation of China (81671306) and the foundation of China Scholarship Council. Qiang Cai, Qiao Guo, Fan Zhang and Daofa Sun are co-first authors for this study.

Disclosure

The authors report no conflicts of interest in this work.