ArticleSurgical neurology international2022
Endoscopic evacuation of septated chronic subdural hemorrhage - Technical considerations, results, and outcome.
Article in Surgical neurology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Efficacy analysis of neuroendoscopy-assisted burr-hole evacuation for chronic subdural hematoma: a systematic review and meta-analysis.Neurosurgical review · 2023Pooled it
- The role of endoscope-assisted septectomy and membranectomy for complex chronic subdural hematomas: safety, efficacy, technical feasibility. Patient series.Journal of neurosurgery. Case lessons · 2026Article
- Article
- Minimally invasive evacuation of chronic subdural hematoma: Repurposing a spinal rigid endoscope.Brain & spine · 2026Article
- Middle meningeal artery embolization of septated chronic subdural hematomas.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- The clinical differences between traumatic and NOS chronic subdural hematoma.Frontiers in neurology · 2024Article
- Mini-Craniotomy With Endoscopic Approach for Acute Subdural Hematoma Evacuation in a Patient With Complex Scalp Flap Defect: A Case Report.Neurosurgery practice · 2023Article
- Endoscopic evacuation of chronic subdural hematoma with rigid and flexible endoscope: case report.Annals of medicine and surgery (2012) · 2023Article
- Endoscopic Treatment of Chronic Subdural Hematoma Combined with Inner Subdural Hygroma.Journal of Korean Neurosurgical Society · 2023Article
- Surgical techniques for evacuation of chronic subdural hematoma: a mini-review.Frontiers in neurology · 2023Review
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Authors and funding
6 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic subdural hematoma (cSDH) is a common entity in the elderly. Homogeneous or well-liquefied CSDH has a standard line of treatment through burr hole and irrigation. However, the management of septated chronic subdural hematoma (sCSDH) with multiple membranes does not have a well-defined surgical approach. The neomembranes forming septations prevent evacuation of clots through burr holes, and the small remaining loculi with clots will enlarge overtime to cause recurrence.
methodsPatients with sCSDH were operated through a minicraniotomy (2.5 cm × 2.5 cm) using rigid endoscopes for visualization of the subdural space. Using endoscope, the entire subdural space can be visualized. The neomembranes are removed with standard neurosurgical microinstruments. The entire cavity is irrigated under vision to remove all clots and ensures hemostasis.
resultsEighty-three endoscope-assisted evacuations were done in 68 patients from January 2016 to April 2020. Fifty (73.5%) patients had unilateral and 18 (26.5%) had bilateral subdural. Only 1 patient (1.47%) had a clinically significant recollection of subdural bleeding 1 month after the procedure. Over a mean follow-up period of 25.3 months (range 1-53 months), rest of patients did not show any recollection.
conclusionEndoscopic evacuation of sCSDH is a safe and effective method and can be used to improve clot evacuation, and remove neomembranes under direct vision to reduce the rates of recollection. This method also obviates the need for larger craniotomies to remove membranes.
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