Chronic Subdural Hematoma Treated by Endoscopic Transcranial Approach
Keywords:
Chronic subdural hematoma, neuroendoscopy, endoscopic transcranial approachAbstract
Introduction: Chronic subdural hematoma is one of the most frequent neurosurgical diseases treated by neurosurgeons. Its incidence has been increasing due to the increase in the elderly population and the use of anticoagulants. The success of neuroendoscopy for its treatment has recently been reported.
Objective: To describe the result of neuroendoscopic treatment of a patient with post-traumatic chronic subdural hematoma.
Clinical case report: The case of an 89-year-old male patient is reported here. He suffered a fall from his feet and received a head injury in the frontal region, 45 days before admission. Ten days prior to admission, he began to speak incoherently and also had difficulty walking. An axial tomography of the skull was performed in which a left hemispheric blood collection of mixed densities was visualized, with a mass effect on the midline structures, typical of a chronic subdural hematoma. A transcranial neuroendoscopic approach was performed using a left parietal trephine, with evacuation of the hematoma and placement of an external drainage catheter. He was seen in consultation one month, six months and two years after surgery, with image control and disappearance of the hematoma. He was seen in consultation one month, six months and two years after surgery, image control was performed and the hematoma disappeared.
Conclusions: The endoscopic transcranial approach in an 89-year-old patient was effective in the evacuation of a post-traumatic chronic subdural hematoma and the placement of an external drainage catheter. The clinical and imaging evolution was good and with no complications after two years of follow-up.
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