Neurological Surgery No Shinkei Geka Volume 47, Issue 4 (April 2019)

Surgery for a Refractory Chronic Subdural Hematoma Using an Exoscope:A Technical Case Report Takashi FUJIMOTO 1 , Yoichi MOROFUJI 1 , Ryotaro TAKAHIRA 1 , Katsuaki GUNGE 1 , Tsuyoshi IZUMO 1 , Kensaku KAMADA 1 , Takayuki MATSUO 1 1Department of Neurosurgery, Nagasaki University School of Medicine Keyword: chronic subdural hematoma , exoscope , mini-craniotomy pp.429-434
Published Date 2019/4/10
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 Burr hole irrigation and drainage is effective in most cases of chronic subdural hematoma(CSDH). However, we sometimes encounter refractory cases that need further procedures or other interventions. Here we report a case with a disturbance of consciousness and left hemiparesis. CT of the head showed a right CSDH, which recurred three times in spite of repeated burr-hole irrigation surgeries. We performed a mini-craniotomy and evacuation of the hematoma under the exoscope to remove the hematoma effectively. The post-operative course was uneventful and no recurrence was found at the last follow up. A mini-craniotomy with an exoscope might be a useful option for treating cases of refractory CSDH.

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Neurological Surgery 脳神経外科
47巻4号 (2019年4月)
電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院