AI Article Synopsis
- Subdural hematoma (SDH) is a serious brain condition primarily affecting older adults, for whom traditional surgery poses high risks due to possible complications and blood loss.
- The study examined six patients treated with endoscopic evacuation, a minimally invasive method that uses a burr hole and rigid lens endoscope to remove hematomas more efficiently.
- Results showed no surgical fatalities among patients aged 63 to 84, with significant improvements in hematoma clearance rates, demonstrating the effectiveness of endoscope-assisted techniques for this demographic while highlighting the need for further research on patient selection and long-term outcomes.
Article Abstract
Background/aim: Subdural hematoma (SDH), a critical brain condition, significantly affects the elderly, making traditional surgeries risky due to their length and potential for blood loss. Endoscope-assisted evacuation offers a safer, less invasive alternative by reducing operation time and minimizing damage, providing an effective solution for older patients. This study evaluated six patients treated with endoscopic evacuation for different stages of SDH from August 2019 to July 2023.
Patients And Methods: Selection criteria were based on altered consciousness, lack of severe brain contusion, SDH thickness over 1 cm, or midline shift over 0.5 cm. The technique used a burr hole and rigid lens endoscope for hematoma removal, focusing on shorter surgery times and better outcomes.
Results: Patients aged between 63 to 84 years showed no surgical fatalities, with all recovering well by discharge. Hematoma clearance rates were 76.9% at three days, improving to 96.8% after one month.
Conclusion: Endoscope-assisted evacuation is a safe, efficient treatment for elderly patients with various stages of SDH, offering a less invasive option with potential for better outcomes. It supports the trend towards minimally invasive neurosurgery, with further research needed to optimize patient selection and understand long-term benefits.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11535949 | PMC |
| http://dx.doi.org/10.21873/invivo.13784 | DOI Listing |
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