ArticleJournal of Korean Neurosurgical Society2019
How to Treat Chronic Subdural Hematoma? Past and Now.
Article in Journal of Korean Neurosurgical Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Comparison of middle meningeal artery embolization alone, in combination with surgery, and surgery alone for chronic subdural hematoma: a network meta-analysis of 143,590 patients.Neurosurgical review · 2025Pooled it
- Adjunct Middle Meningeal Artery Embolization Versus Surgery for Chronic Subdural Hematoma: A Systematic Review and Meta-Analysis.Neurosurgical review · 2024Pooled it
- Establishment of a novel rat model of chronic subdural hematoma: Recapitulating human pathological features through triple-component induction.IBRO neuroscience reports · 2026Article
- Surgical Management of Chronic Subdural Hematomas: An Institutional Analysis of Time to Hematoma Resolution.Neurosurgery practice · 2026Article
- Postoperative Remote Acute Subarachnoid Hemorrhage as a Complication of Chronic Subdural Hematoma Evacuation With Burrhole: A Case Report and Literature Review.Clinical case reports · 2025Article
- Chronic subdural hematoma with mild to moderate symptoms: The effect of initial treatment approach on clinical outcome.Brain & spine · 2025Article
- Efficacy of neuroendoscopy-assisted surgery in the treatment of chronic subdural hematoma: a meta-analysis.Chinese neurosurgical journal · 2024Review
- Comparison of surgical techniques for the treatment of chronic subdural hematomas: A single‑center case series.Experimental and therapeutic medicine · 2024Article
- Combined pterional burr hole and coagulation of middle meningeal artery for chronic subdural hematoma.Surgical neurology international · 2024Article
- Comparison of outcomes and recurrence rates in patients undergoing single or double burr hole surgery for the treatment of chronic subdural hematoma in Bosnia and Herzegovina.Brain & spine · 2024Article
- Analysis of middle meningeal artery embolization for the treatment of chronic, acute on chronic, and subacute subdural hematomas.Surgical neurology international · 2024Article
- Endoscopic Treatment of Chronic Subdural Hematoma Combined with Inner Subdural Hygroma.Journal of Korean Neurosurgical Society · 2023Article
- Role of Adjunctive Tranexamic Acid in Facilitating Resolution of Chronic Subdural Hematoma after Surgery.Journal of Korean Neurosurgical Society · 2023Article
- Middle Meningeal Artery Embolization in the Management of Chronic Subdural Hematoma: a Comprehensive Review of Current Literature.Current neurology and neuroscience reports · 2023Review
- Middle meningeal artery embolisation: The review of a new treatment for chronic subdural hematomas.Surgical neurology international · 2023Review
- Management of chronic subdural hematoma: A study from Jordan.Journal of Taibah University Medical Sciences · 2022Article
- Trauma Mechanisms and Surgical Outcomes in the Elderly Patient with Chronic Subdural Hematoma.Canadian geriatrics journal : CGJ · 2022Article
- Local anesthesia versus general anesthesia for evacuation of chronic subdural hematoma in elderly patients above 70 years old.Surgical neurology international · 2022Article
- Hemorrhagic Transformation After Ischemic Stroke: Mechanisms and Management.Frontiers in neurology · 2021Review
- Intraoperative hematoma volume can predict chronic subdural hematoma recurrence.Surgical neurology international · 2021Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Treatment of chronic subdural hematoma (CSDH) is relatively straightforward, however, there is still some debate regarding the best strategy for treatment. The most practical recommendations of up to date were identified by a review of literature. The author reviewed the literature on CSDH management from the past to now to identify the best methods. Till 1970s, craniotomy was the most commonly used method. Burr hole (BH) became the most preferred method from 1980s. In 1977, twist drill (TD) craniostomy was introduced. Closed system drainage after a BH or a TD became the most frequently used surgical method. Although nonsurgical treatment is often successful, trephination has more advantages, such as rapid resolution of the symptoms and short period of hospitalization. Nonsurgical treatment is possible in asymptomatic patients with a small CSDH. For the symptomatic patients with CSDH, trephination is the treatment of choice, either by BH or TD. In gray zone between surgery and medical treatment, shared decision making can be an ideal approach. For the recurrent CSDHs, repeated trephination is still effective for patients with a low risk of recurrence. If the risk of recurrence is high, additional management would be helpful. For the refractory CSDHs, it is necessary to obliterate the subdural space.
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Registered trials
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