Subdural hematoma surgery: Difference between revisions
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==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 | *Surgery is the first-line treatment option for patients with subdural hematoma. Surgery is usually reserved for patients with either: | ||
**In acute SDH: | **In acute SDH: | ||
***Advanced age | ***Advanced age | ||
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==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
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Subdural Hematoma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Subdural hematoma surgery On the Web |
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American Roentgen Ray Society Images of Subdural hematoma surgery |
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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