ArticleFrontiers in neurology
Simultaneous Burr hole drainage and middle meningeal artery occlusion through a single incision for chronic subdural hematoma guided by 3D reconstruction.
Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Burr hole drainage (BHD) is the preferred surgical technique for chronic subdural hematoma (CSDH), but the high recurrence rate of hematoma after surgery remains a clinical challenge. To minimize postoperative hematoma recurrence, this study aimed to investigate the clinical outcomes of performing CSDH drainage and middle meningeal artery (MMA) occlusion through the same cranial burr hole. Methods: Patients with CSDH from January 2021 to June 2025 were collected, and divided into an observation group and a control group based on the surgical method implemented. A single-point cranial burr hole was determined through three-dimensional (3D) reconstruction technology to locate the MMA in the observation group, then hematoma was drained and MMA was blocked through same cranial burr hole. The control group underwent traditional BHD procedures. Both groups received the same conventional nursing and postoperative treatment. Results: There were 41 patients in the observation group and 75 in the control group. The demographic characteristics, medical history, mRS score at admission, hematoma thickness, and degree of midline shift were comparable between both groups at enrollment. Both groups showed no significant differences in intraoperative indicators, hematoma removal effect, perioperative complications, hospitalization costs or mRS score at 6 months postoperatively. The observation group experienced shorter drainage duration and hospitalization duration ( Conclusion: This surgical approach, which involved BHD and MMA through a single point under 3D reconstruction technique, led to better drainage of hematoma for CSDH patients compared to the conventional method. It contributed to shorter surgical and hospitalization duration, reduced hematoma residual volume, and a lower risk of hematoma recurrence after surgery.
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