Subdural hematoma surgery: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| (3 intermediate revisions by the same user not shown) | |||
| Line 2: | Line 2: | ||
{{Subdural hematoma}} | {{Subdural hematoma}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{Fs}} | ||
==Overview== | ==Overview== | ||
Surgery is the first-line treatment option for patients with subdural hematoma and include craniotomy, burr hole trephination, decompressive craniectomy. | |||
Surgery is | |||
==Indications== | ==Indications== | ||
*Surgery is the first-line treatment option for patients with subdural hematoma. Surgery is usually reserved for patients with either: | |||
**In acute SDH: | |||
***Advanced age | |||
*Surgery is | ***Clot thickness >10 mm | ||
** | ***Midline shift >5 mm | ||
** | ***≥2 decrease in GCS | ||
** | ***Abnormal pupill | ||
* | ** In chronic SDH | ||
** | *** Cognitive impairment | ||
** | *** Progressive neurologic symptoms | ||
** | *** Clot thickness ≥10 mm | ||
***Midline shift ≥5 mm | |||
==Surgery== | ==Surgery== | ||
*Surgery is the mainstay of treatment for subdural hematoma: | |||
** Craniotomy | |||
** Burr hole trephination | |||
*Surgery is the mainstay of treatment for | ** Decompressive craniectomy | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 13:26, 11 June 2019
|
Subdural Hematoma Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Subdural hematoma surgery On the Web |
|
American Roentgen Ray Society Images of Subdural hematoma surgery |
|
Risk calculators and risk factors for Subdural hematoma surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.
Overview
Surgery is the first-line treatment option for patients with subdural hematoma and include craniotomy, burr hole trephination, decompressive craniectomy.
Indications
- Surgery is the first-line treatment option for patients with subdural hematoma. Surgery is usually reserved for patients with either:
- In acute SDH:
- Advanced age
- Clot thickness >10 mm
- Midline shift >5 mm
- ≥2 decrease in GCS
- Abnormal pupill
- In chronic SDH
- Cognitive impairment
- Progressive neurologic symptoms
- Clot thickness ≥10 mm
- Midline shift ≥5 mm
- In acute SDH:
Surgery
- Surgery is the mainstay of treatment for subdural hematoma:
- Craniotomy
- Burr hole trephination
- Decompressive craniectomy