Traumatic Acute Subdural Hematoma — Should the Bone Flap …
2023年4月23日 · Traumatic acute subdural hematomas often warrant emergency evacuation of the blood clot to avoid further cerebral compression and its sequelae. Once the subdural clot is removed, the million ...
Subdural Hematoma Surgery: Background, Anatomy, Prognosis - Medscape
2024年5月28日 · Surgery to manage an acute SDH usually consists of a large craniotomy (centered over the thickest portion of the clot) to decompress the brain; to stop any active subdural bleeding; and, if...
Neurocritical Management of Traumatic Acute Subdural …
Acute subdural hematoma (ASDH) has been a major part of traumatic brain injury (TBI). It is a common clinical entity for the neurosurgeons and usually results in a poor prognosis. ASDH is easily diagnosed on the brain computed tomography (CT) as extra-axial hyperdense crescent mass between the dura and the brain parenchyma.
Decompressive Craniectomy versus Craniotomy for Acute Subdural Hematoma
2023年4月23日 · Traumatic acute subdural hematomas frequently warrant surgical evacuation by means of a craniotomy (bone flap replaced) or decompressive craniectomy (bone flap not replaced). Craniectomy may...
Surgical strategies in acute subdural hematoma: a meta-analysis …
2024年3月4日 · The primary treatment approach for patients experiencing progressive neurological deficits or notable mass effects is the surgical removal of the hematoma, which can be achieved through craniotomy (CO) or decompressive craniectomy (DC). Nevertheless, the choice between these two procedures remains a subject of ongoing debate and controversy.
Surgical Management of Traumatic Acute Subdural Hematoma …
Acute subdural hematoma (ASDH) represents a major clinical entity in traumatic brain injury (TBI), diagnosed on computed tomography (CT) as extraaxial, hyperdense, crescent lesion between the dura, and brain parenchyma.
Surgery versus conservative treatment for traumatic acute subdural ...
2022年7月1日 · The strong curative potential of surgery in acute subdural haematoma is well established in patients who are comatose. By showing large practice variation, our study confirms the uncertainty among neurosurgeons in the optimal immediate treatment strategy for all other patients with acute subdural haematoma.
Surgery for Acute Subdural Hematoma: Replace or Remove the Bone Flap ...
2016年4月1日 · In surgery for acute subdural hematoma (ASDH), the bone flap can be fixed onto the skull, left riding to provide partial skull decompression, or removed. This study assessed whether removing the bone flap improved outcome.
Craniectomy versus craniotomy: What can we do for acute subdural hematoma?
2024年6月14日 · The key conclusions of RESCUE-ASDH trial provide an essential reference for the decision-making of whether to remove the bone flap during the subdural hematoma surgery, that is, if no encephalocele occurs immediately during the operation, reduction of the skull with brain tissue no higher than the plane level of the skull does not increase the ...
A subdural haematoma is diagnosed by scanning the head, typically using a CT scan. A common treatment is surgery, which aims to remove the blood. Another option in some cases is a medication (steroids), which reduces the pressure inside the head. Sometime patients are purely monitored, and no intervention is carried out.