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CC BY 4.0 · Indian Journal of Neurotrauma 2024; 21(02): 189-193
DOI: 10.1055/s-0043-1768648
Methods Article

Technical Nuances in the Perioperative Management of Chronic Subdural Hematoma by Twin Burr Hole Craniostomy: Tips, Tricks, and Tactics

Jatin K. Sethi    *
1   Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
,
Viraat Harsh    *
1   Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
,
Prashant Kumar
1   Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
,
Chandra B. Sahay
1   Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
,
Anil Kumar
1   Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
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Abstract

Chronic subdural hematoma (CSDH) remains to be the most common neurosurgical entity usually encountered in the elderly population. With an increasing life expectancy and associated comorbidities, the incidence of CSDH is ever increasing. There is a lack of uniformity among neurosurgeons regarding management of CSDH, but surgical evacuation using twin burr hole craniostomy remains to be the most preferred modality. Other options available are twist drill craniostomy and craniotomy. A conservative approach may be preferred in a thin subdural hematoma with no or minimal neurological deficit or in high operative risk patients. Complications such as pneumocephalus, recollection, or rebleeding may be seen following surgical evacuation of CSDH. Herein we aimed to address the technical nuances associated with twin burr hole evacuation of CSDH to reduce the complications and the overall associated morbidity and mortality.

Keywords

chronic subdural hematoma - craniostomy - burr hole evacuation

* Co-first authors.




Publication History

Received: 23 June 2022

Accepted: 28 August 2022

Article published online:
01 July 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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