Although chronic subdural hematoma (CSDH) is one of the most common entities encountered in neurosurgical practice, optimal surgical treatment for CSDH remains controversial. This study retrospectively compared results for CSDH between burr hole drainage alone and burr hole drainage with irrigation. Ninety-two patients with CSDH underwent surgery at our institution from January 1998 through Dec...

Background: A chronic subdural hematoma (CSDH) is an old collection of blood and blood breakdown products between the surface of the brain and its outermost covering the dura. The chronic phase of a subdural hematoma begins several weeks after the first bleeding. It has long been recognized that the elderly are more likely to develop a subdural hematoma, particularly from minor trauma. CSDH s h...

Deep brain stimulation (DBS) surgery typically involves placement of a single lead through a burr hole, either unilaterally or bilaterally. Rare indications, however, call for placement of 2 ipsilateral leads. To date, there have been no technical descriptions of how best to secure dual ipsilateral leads to the skull. We describe a method of placing and securing 2 ipsilateral DBS leads through ...

PURPOSE: Tracked navigation systems are generally impractical in bedside neurosurgical procedures, such as a twist-drill crainiostomy for the removal of a subdural hematoma, where the use of navigation could optimize the placement of the drill in relation to the underlying fluid. We use the Microsoft HoloLens to display a hologram floating in the patient’s head to mark a burr hole on the skull....

OBJECTIVE Although subdural hematoma (SDH) is commonly treatable by burr hole surgery in the late subacute or chronic stage, there is no clear consensus regarding appropriate management and exact predictive factors for postoperative recurrence also remain unclear. The aim of this study was to evaluate risk factors associated with recurrence of SDH that requires burr hole surgery in the late sub...

INTRODUCTION The aim of this study was to evaluate the outcome of Osteoplug, a novel biodegradable polymer burr-hole cover implant, used in patients with burr holes done for drainage of chronic subdural haematoma. METHODS 12 patients with chronic subdural haematoma had Osteoplug implants inserted into their burr holes after evacuation of the haematoma. Osteoplug is a biodegradable polycaprola...

Sonographic imaging of the brain was accomplished through a burr hole using a small, real-time, 5 MHz transducer in five patients. Brain tumors were accurately imaged, corresponding closely in morphology to the computed tomographic scan. Intraoperative sonography through a burr hole allows flexibility in technique and greatly facilitates brain biopsy procedures.

hematomas were surgically treated and analyzed prospectively. Cases were classified according to the clinical conditions and computed tomography images. Results of the cases that underwent burr-hole craniostomy–irrigation (group A; n 1⁄4 35) were compared with those undergoing burr-hole craniostomy–closed system drainage (group B; n 1⁄4 35). The most frequent etiological factor was trauma in bo...

Chronic subdural hematomas (CSDH), which are frequently encountered in neurosurgical practice, are, in the majority of cases, ideally treated with surgical drainage. Despite this common practice, there is still controversy surrounding the best surgical procedure. With lack of clear evidence of a superior technique, surgeons are free to base the decision on other factors that are not related to ...

Chronic subdural hematoma (CSDH) is a curable entity frequently encountered by neurosurgeons. The present study was conducted to explore expert opinion and common practice in Iran. Besides, a Review of randomized clinical trials in literature was performed. A questionnaire including six questions discussing major aspects of practice on CSDH, with multiple choices was designed. A pilot study was...