Subdural hematoma surgery

Subdural Hematoma Microchapters
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Overview
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Differentiating Subdural Hematoma from other Diseases
Epidemiology and Demographics
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Diagnostic Study of Choice
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

Surgical intervention is not recommended for the management of [disease name].

OR

Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]

OR

The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].

OR

The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

Surgery is the mainstay of treatment for [disease or malignancy].

Indications

• Surgery is not 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

Surgery

• Surgery is the mainstay of treatment for subdural hematoma:
  • Craniotomy
  • Burr hole trephination
  • Decompressive craniectomy