ArticleExperimental and therapeutic medicine2015
Preoperative trepanation and drainage for acute subdural hematoma: Two case reports.
Article in Experimental and therapeutic medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 11 citations in OpenAlex.
- Neurosurgical management of geriatric patients with traumatic brain injury in a medium-developed Chinese city: a recent-years overview.Frontiers in neurology · 2025Article
- Reoperations after surgery for acute subdural hematoma: reasons, risk factors, and effects.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Delayed Operation of Acute Subdural Hematoma in Subacute Stage by Trephine Drainage using Urokinase.Korean journal of neurotrauma · 2019Article
- Burr Hole Drainage with Urokinase Irrigation for the Treatment of Acute Subdural Hematoma: A Case Report.Korean journal of neurotrauma · 2018Article
- Is Subdural Peritoneal Shunt Placement an Effective Tool for the Management of Recurrent/Chronic Subdural Hematoma?Cureus · 2016Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
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Abstract
Craniotomy is frequently used for the treatment of acute subdural hematoma; however, it the procedure exhibits a high mortality rate. Preoperative trepanation and drainage in an emergency ward may reduce intracranial pressure, shorten operation time and lower patient mortality, and is thus applicable to the treatment of acute subdural hematoma. The present study reports the cases of two elderly patients that benefitted from trepanation and drainage of an acute subdural hematoma. In each case, the family members of the patients refused to consent to a craniotomy; thus, burr-hole drainage was selected as an alternative option for relieving intracranial pressure. The risks require careful evaluation when considering whether trepanation with drainage is an option for a patient. Following treatment, the two cases were cured and discharged on days 48 and 18 after admission, respectively. The present case studies indicate that trepanation with drainage may be a promising approach for reducing craniotomy-associated mortality and closely monitoring condition variation in elderly patients. Following trepanation with drainage, certain patients do not undergo a craniotomy.
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