Minimally Invasive Endoscopy for Acute Subdural Hematomas: A Report of 3 Cases.
Oper Neurosurg (Hagerstown)
; 20(3): 310-316, 2021 02 16.
Article
in En
| MEDLINE
| ID: mdl-33372226
ABSTRACT
BACKGROUND:
Acute subdural hematomas (aSDHs) occur in approximately 10% to 20% of all closed head injury and represent a significant cause of morbidity and mortality in traumatic brain injury patients. Conventional craniotomy is an invasive intervention with the potential for excess blood loss and prolonged postoperative recovery time.OBJECTIVE:
To evaluate the outcomes of minimally invasive endoscopy for evacuation of aSDHs in a pilot feasibility study.METHODS:
We retrospectively reviewed the records of consecutive patients with aSDHs who underwent surgical treatment at our institution with minimally invasive endoscopy using the Apollo/Artemis Neuro Evacuation Device (Penumbra, Alameda, California) between April 2015 and July 2018.RESULTS:
The study cohort comprised three patients. The Glasgow Coma Scale on admission was 15 for all 3 patients, median preoperative hematoma volume was 49.5 cm3 (range 44-67.8 cm3), median postoperative degree of hematoma evacuation was 88% (range 84%-89%), and median modified Rankin Scale at discharge was 1 (range 0-3).CONCLUSION:
Endoscopic evacuation of aSDHs can be a safe and effective alternative to craniotomy in appropriately selected patients. Further studies are needed to refine the selection criteria for endoscopic aSDH evacuation and evaluate its long-term outcomes.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Hematoma, Subdural, Acute
Type of study:
Observational_studies
Limits:
Humans
Language:
En
Journal:
Oper Neurosurg (Hagerstown)
Year:
2021
Type:
Article