A novel application of the integra camino bolt for the drainage of chronic subdural hematoma: A technical note

Abstract

Background: Chronic subdural hematoma (cSDH) is a common neurosurgical pathology associated with older age and complicated by antiplatelet/anticoagulant therapies. With improving medical care in an aging population, the incidence of cSDH will likely increase over the next 25 years, placing a burden on health care costs. Aims: A simple and inexpensive treatment option for cSDH is desirable. Material and methods: We report a basic, but novel, technique to drain cSDH with an Integra Camino bolt. Results: This technique was employed in two patients, where the significant resolution of cSDH and associated clinical symptoms were observed without complications. Conclusions: Our technique is simple and effective. It incorporates readily available materials, which reduces costs. Such characteristics are necessary, given the increasing incidence of cSDH.