Chronic subdural hematoma (CSDH) is a relatively common condition encountered in a
neurosurgical practice. There have been increased efforts in creating different treatment
regimens for CSDH to improve patients' outcomes, including the addition of tissue
plasminogen activator (tPA) in drains to reduce recurrences. Here, we present the
first case report of the safe use of tPA in conjunction with an Integra Camino bolt
for maximized drainage of CSDH with a successful neurological recovery and the complete
resolution of the hematoma.
Key-words:
Chronic subdural hematoma - integra camino bolt - subdural evacuating port system
- surgical decompression - traumatic brain injury
