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| http://dx.doi.org/10.4103/0976-3147.112785 | DOI Listing |
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Clinical outcome of subdural versus subgaleal drain after burr-hole drainage for chronic subdural hematoma.
Acta Neurochir (Wien)
November 2024
Department of Neurosurgery, Utrecht University Medical Center, Utrecht, Netherlands.
Article Synopsis
- Chronic subdural hematoma (CSDH) treatment often involves burr-hole drainage and either subdural or subgaleal drain insertion, with surgeon preference influencing the choice.
- A study analyzed 700 CSDH cases from 2017 to 2022, finding no significant differences in recurrence, reoperation rates, or complications between subdural and subgaleal drains.
- The results suggest that both drainage methods are equally effective, indicating a need for a larger, multicenter randomized controlled trial to further explore their outcomes.
Endoscopic Management of Chronic Subdural Hematoma Using a Novel Brain Retractor.
World Neurosurg
August 2024
Department of Neurosurgery, NSCB Medical College, Jabalpur, India. Electronic address:
Background: Endoscopic procedures are useful in chronic subdural hematoma especially when there are septations, solid/organized hematoma, and the presence of bridging or neovessels in the cavity. Visualizing the distal hematoma cavity by a rigid scope is challenging in large and curved ones due to the hindrance by the brain surface. Combining rigid endoscopy and brain retractor can overcome this limitation.
View Article and Find Full Text PDFFatal postoperative tension pneumocephalus after acute subdural hematoma evacuation: a case report.
Int J Neurosci
May 2024
Second Department of Neurosurgery, Ippokratio General Hospital, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Purpose: Tension pneumocephalus (TP) represents a rare pathology characterized by constant accumulation of air in the intracranial space, being associated with increased risk of herniation, neurologic deterioration and death. Regarding neurosurgical trauma cases, TP is majorly encountered after chronic subdural hematoma evacuation. In this case report, we present a rare case of fatal postoperative TP encountered after craniotomy for evacuation of acute subdural hematoma (aSDH).
View Article and Find Full Text PDFHow to Safely Use the Perforator-based Keystone Island Flap in the Scalp: Basal Cell Carcinoma of the Scalp With Local Invasion to Calvarium.
J Craniofac Surg
June 2024
Department of Anesthesiology and Pain Medicine, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Republic of Korea.
Scalp reconstruction has always been a challenging problem for even the most experienced surgeon to provide good aesthetic and functional results. This is mainly because the scalp is less mobile and tight, requiring a much larger dissection for the size of the original defect. We hypothesized that the omega variant perforator-based keystone island flap at the subgaleal plane provides a versatile and easily reproducible reconstructive option for scalp reconstruction after wide skin cancer excision.
View Article and Find Full Text PDFPolyetheretherketone Implant Cranioplasty for Large Cranial Defects: A Seven-Year Follow-Up.
J Craniofac Surg
February 2024
Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX.
Background: Goals of a cranioplasty include protection of the brain, restoration of normal appearance, and neurological function improvement. Although choice of materials for cranial remodeling has changed through the years, computer-designed polyetheretherketone (PEEK) implant has gained traction as a preferred material used for cranioplasty. However, long-term outcomes and complications of PEEK implants remain limited.
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