Evacuation of chronic and subacute subdural hematoma via transcranial neuroendoscopic approach

Qiang Cai,1 Qiao Guo,1 Fan Zhang,2 Daofa Sun,2 Wenfei Zhang,1 Baowei Ji,1 Zhibiao Chen,1 Shanping Mao3 1Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, Hubei Province 430060, China; 2Department of Neurosurgery, Xiantao First People’s Hospital, Xiantao, Hubei Provin...

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Autores principales:	Cai Q, Guo Q, Zhang F, Sun D, Zhang W, Ji B, Chen Z, Mao S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	subacute subdural hematoma chronic subdural hematoma transcranial neuroendoscopic approach Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/61ec4c6d3771476cbdadf9595c6bd7bc
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id	oai:doaj.org-article:61ec4c6d3771476cbdadf9595c6bd7bc
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spelling	oai:doaj.org-article:61ec4c6d3771476cbdadf9595c6bd7bc2021-12-02T00:29:12ZEvacuation of chronic and subacute subdural hematoma via transcranial neuroendoscopic approach1178-2021https://doaj.org/article/61ec4c6d3771476cbdadf9595c6bd7bc2019-01-01T00:00:00Zhttps://www.dovepress.com/evacuation-of-chronic-and-subacute-subdural-hematoma-via-transcranial--peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Qiang Cai,1 Qiao Guo,1 Fan Zhang,2 Daofa Sun,2 Wenfei Zhang,1 Baowei Ji,1 Zhibiao Chen,1 Shanping Mao3 1Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, Hubei Province 430060, China; 2Department of Neurosurgery, Xiantao First People’s Hospital, Xiantao, Hubei Province 433000, China; 3Department of Neurology, Renmin Hospital of Wuhan University, Wuhan, Hubei Province 430060, China Objective: To evaluate the effectiveness and safety of neuroendoscopic surgery for chronic or subacute subdural hematoma. Patients and methods: Between September 2016 and September 2018, neuroendoscopic surgery was performed on 25 patients with chronic and subacute subdural hematoma. Hematoma evacuation was performed with a 0°, 4 mm diameter rigid neuroendoscope via a transcranial neuroendoscopic approach. Results: All patients successfully underwent neuroendoscopic surgery, and no surgical complications or rebleeding was observed. Postoperative computed tomography scans showed that the hematoma was successfully evacuated. All patients had recovered well at discharge, the observed 30-day mortality rate was 0%, and no patients suffered recurrence for 2–26 months after surgery. Conclusion: Neuroendoscopic surgery was a safe and effective approach for the treatment of chronic and subacute subdural hematoma. This approach has the advantages of decent visualization and minimal invasiveness and could reduce recurrence and the mortality rate. Keywords: subacute subdural hematoma, chronic subdural hematoma, transcranial neuroendoscopic approachCai QGuo QZhang FSun DZhang WJi BChen ZMao SDove Medical Pressarticlesubacute subdural hematomachronic subdural hematomatranscranial neuroendoscopic approachNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 385-390 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	subacute subdural hematoma chronic subdural hematoma transcranial neuroendoscopic approach Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	subacute subdural hematoma chronic subdural hematoma transcranial neuroendoscopic approach Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Cai Q Guo Q Zhang F Sun D Zhang W Ji B Chen Z Mao S Evacuation of chronic and subacute subdural hematoma via transcranial neuroendoscopic approach
description	Qiang Cai,1 Qiao Guo,1 Fan Zhang,2 Daofa Sun,2 Wenfei Zhang,1 Baowei Ji,1 Zhibiao Chen,1 Shanping Mao3 1Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, Hubei Province 430060, China; 2Department of Neurosurgery, Xiantao First People’s Hospital, Xiantao, Hubei Province 433000, China; 3Department of Neurology, Renmin Hospital of Wuhan University, Wuhan, Hubei Province 430060, China Objective: To evaluate the effectiveness and safety of neuroendoscopic surgery for chronic or subacute subdural hematoma. Patients and methods: Between September 2016 and September 2018, neuroendoscopic surgery was performed on 25 patients with chronic and subacute subdural hematoma. Hematoma evacuation was performed with a 0°, 4 mm diameter rigid neuroendoscope via a transcranial neuroendoscopic approach. Results: All patients successfully underwent neuroendoscopic surgery, and no surgical complications or rebleeding was observed. Postoperative computed tomography scans showed that the hematoma was successfully evacuated. All patients had recovered well at discharge, the observed 30-day mortality rate was 0%, and no patients suffered recurrence for 2–26 months after surgery. Conclusion: Neuroendoscopic surgery was a safe and effective approach for the treatment of chronic and subacute subdural hematoma. This approach has the advantages of decent visualization and minimal invasiveness and could reduce recurrence and the mortality rate. Keywords: subacute subdural hematoma, chronic subdural hematoma, transcranial neuroendoscopic approach
format	article
author	Cai Q Guo Q Zhang F Sun D Zhang W Ji B Chen Z Mao S
author_facet	Cai Q Guo Q Zhang F Sun D Zhang W Ji B Chen Z Mao S
author_sort	Cai Q
title	Evacuation of chronic and subacute subdural hematoma via transcranial neuroendoscopic approach
title_short	Evacuation of chronic and subacute subdural hematoma via transcranial neuroendoscopic approach
title_full	Evacuation of chronic and subacute subdural hematoma via transcranial neuroendoscopic approach
title_fullStr	Evacuation of chronic and subacute subdural hematoma via transcranial neuroendoscopic approach
title_full_unstemmed	Evacuation of chronic and subacute subdural hematoma via transcranial neuroendoscopic approach
title_sort	evacuation of chronic and subacute subdural hematoma via transcranial neuroendoscopic approach
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/61ec4c6d3771476cbdadf9595c6bd7bc
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Evacuation of chronic and subacute subdural hematoma via transcranial neuroendoscopic approach

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