The minimally invasive endoscopic management of septated chronic subdural hematomas: surgical technique.
Acta Neurochir (Wien)
; 156(12): 2359-62, 2014 Dec.
Article
en En
| MEDLINE
| ID: mdl-25223748
BACKGROUND: Fibrin membranes and compartmentalization within the subdural space are a frequent cause of failure in the treatment of chronic subdural hematomas (CSH). This specific subtype of CSH classically requires craniotomy, which carries significant morbidity and mortality rates, particularly in elderly patients. In this work, we describe a minimally invasive endoscopic alternative. METHODS: Under local scalp anesthesia, a rigid endoscope is inserted through a parietal burr hole in the subdural space to collapse fibrin septa and cut the internal membrane. It also allows cauterization of active bleedings and the placement of a drain under direct visualization. CONCLUSIONS: The endoscopic treatment of septated CSH represents a minimally invasive alternative to craniotomy especially for the internal membranectomy.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Hematoma Subdural Crónico
/
Cirugía Asistida por Video
/
Neuroendoscopía
Límite:
Humans
Idioma:
En
Revista:
Acta Neurochir (Wien)
Año:
2014
Tipo del documento:
Article
Pais de publicación:
Austria