Endoscopic hematoma evacuation for acute and subacute subdural hematoma in elderly patients

42Citations
Citations of this article
62Readers
Mendeley users who have this article in their library.

Abstract

Object Endoscopic surgery was performed for acute or subacute subdural hematoma (SDH), and its effectiveness and safety in elderly patients were evaluated. Methods Between September 2007 and November 2013, endoscopic surgery was performed in 11 elderly patients with acute SDH (8 patients) and subacute SDH (3 patients). The criteria for surgery were as follows: 1) the presence of clinical symptoms; 2) age older than 70 years; 3) no brain injury (intracerebral hematoma, brain contusion); 4) absence of an enlarging SDH; and 5) no high risk of bleeding. Hematoma evacuation was performed with a 4-mm rigid endoscope with a 0 lens and a malleable irrigation suction cannula. Results Endoscopic surgery was performed under local anesthesia. The mean age of the patients was 82.6 years (range 73-91 years). There were 5 female and 6 male patients. The mean preoperative Glasgow Coma Scale score was 12, and 5 patients had been receiving antithrombotic drug therapy. The mean operation time was 85 minutes. Only 1 patient had rebleeding, and reoperation with the same technique was performed uneventfully in this individual. A total of 7 patients had a good recovery (modified Rankin Scale Score 0-2) at discharge. Conclusions Endoscopic hematoma evacuation of acute and subacute SDH is a safe and effective method of clot removal that minimizes operative complications. This technique may be a less invasive method for treating elderly patients with acute and subacute SDHs.

References Powered by Scopus

Acute subdural hematoma: Morbidity, mortality, and operative timing

346Citations
N/AReaders
Get full text

SUBDURAL HÆMATOMA. A REVIEW OF 389 CASES

215Citations
N/AReaders
Get full text

Endoscopic treatment of septated chronic subdural hematoma

79Citations
N/AReaders
Get full text

Cited by Powered by Scopus

Clinical characteristics and outcome in elderly patients with traumatic brain injury: For establishment of management strategy

68Citations
N/AReaders
Get full text

Flexible endoscope-assisted evacuation of chronic subdural hematomas

39Citations
N/AReaders
Get full text

Flexible endoscopically assisted evacuation of acute and subacute subdural hematoma through a small craniotomy: preliminary results

28Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Yokosuka, K., Uno, M., Matsumura, K., Takai, H., Hagino, H., Matsushita, N., … Matsubara, S. (2015). Endoscopic hematoma evacuation for acute and subacute subdural hematoma in elderly patients. Journal of Neurosurgery, 123(4), 1065–1069. https://doi.org/10.3171/2014.10.JNS14915

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 14

56%

Researcher 7

28%

Professor / Associate Prof. 3

12%

Lecturer / Post doc 1

4%

Readers' Discipline

Tooltip

Medicine and Dentistry 25

66%

Neuroscience 7

18%

Agricultural and Biological Sciences 4

11%

Biochemistry, Genetics and Molecular Bi... 2

5%

Save time finding and organizing research with Mendeley

Sign up for free