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Neuroendoscopic Removal of Acute Subdural Hematoma with Contusion: Advantages for Elderly Patients
Joint Authors
Tamura, Ryota
Kuroshima, Yoshiaki
Nakamura, Yoshiki
Source
Case Reports in Neurological Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-02-15
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Large craniotomy for acute subdural hematoma is sometimes too invasive.
We report good outcomes for two cases of neuroendoscopic evacuation of hematoma and contusion by 1 burr hole surgery.
Case Presentation.
Both patients arrived by ambulance at our hospital with disturbed consciousness after falling.
Case 1 was an 81-year-old man who took antiplatelet drugs for brain infarction.
Case 2 was a 73-year-old alcoholic woman.
CT scanning showed acute subdural hematoma and frontal contusion in both cases.
In the acute stage, glycerol was administered to reduce edema; CTs after 48 and 72 hours showed an increase of subdural hematoma and massive contusion of the frontal lobe.
Disturbed consciousness steadily deteriorated.
The subdural hematoma and contusion were removed as soon as possible by neuroendoscopy under local anesthesia, because neither patient was a good candidate for large craniotomy considering age and past history.
40%~70% of the hematoma was removed, and the consciousness level improved.
Conclusion.
Neuroendoscopic removal of acute subdural hematoma and contusion has advantages and disadvantages.
For patients with underlying medical issues or other risk factors, it is likely to be effective.
American Psychological Association (APA)
Tamura, Ryota& Kuroshima, Yoshiaki& Nakamura, Yoshiki. 2016. Neuroendoscopic Removal of Acute Subdural Hematoma with Contusion: Advantages for Elderly Patients. Case Reports in Neurological Medicine،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101247
Modern Language Association (MLA)
Tamura, Ryota…[et al.]. Neuroendoscopic Removal of Acute Subdural Hematoma with Contusion: Advantages for Elderly Patients. Case Reports in Neurological Medicine No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1101247
American Medical Association (AMA)
Tamura, Ryota& Kuroshima, Yoshiaki& Nakamura, Yoshiki. Neuroendoscopic Removal of Acute Subdural Hematoma with Contusion: Advantages for Elderly Patients. Case Reports in Neurological Medicine. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101247
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101247