Frontiers in Neurology (Jun 2023)

Surgical techniques for evacuation of chronic subdural hematoma: a mini-review

  • Benjamin Rodriguez,
  • Benjamin Rodriguez,
  • Benjamin Rodriguez,
  • Isabella Morgan,
  • Isabella Morgan,
  • Tirone Young,
  • Tirone Young,
  • Tirone Young,
  • Joseph Vlastos,
  • Joseph Vlastos,
  • Joseph Vlastos,
  • Tyree Williams,
  • Tyree Williams,
  • Tyree Williams,
  • Eugene I. Hrabarchuk,
  • Eugene I. Hrabarchuk,
  • Eugene I. Hrabarchuk,
  • Jaden Tepper,
  • Jaden Tepper,
  • Turner Baker,
  • Turner Baker,
  • Christopher P. Kellner,
  • Christopher P. Kellner,
  • Christopher P. Kellner,
  • Joshua Bederson,
  • Joshua Bederson,
  • Joshua Bederson,
  • Benjamin I. Rapoport,
  • Benjamin I. Rapoport,
  • Benjamin I. Rapoport

DOI
https://doi.org/10.3389/fneur.2023.1086645
Journal volume & issue
Vol. 14

Abstract

Read online

Chronic subdural hematoma is one of the most common neurosurgical pathologies with over 160,000 cases in the United States and Europe each year. The current standard of care involves surgically evacuating the hematoma through a cranial opening, however, varied patient risk profiles, a significant recurrence rate, and increasing financial burden have sparked innovation in the field. This mini-review provides a brief overview of currently used evacuation techniques, including emerging adjuncts such as endoscopic assistance and middle meningeal artery embolization. This review synthesizes the body of available evidence on efficacy and risk profiles for each critical aspect of surgical technique in cSDH evacuation and provides insight into trends in the field and promising new technologies.

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