Minimally Invasive Surgical Approaches for Chronic Subdural Hematomas

Abstract

Chronic subdural hematomas are one of the most common clinical entities encountered in today's neurosurgical practices owing to an aging population and continued increases in life expectancy. Although there is a role for conservative management, surgical drainage remains the mainstay of current therapy. Regardless of the technique used for hematoma drainage, there is level I evidence to suggest that use of closed-system drainage during the perioperative period significantly decreases the likelihood for hematoma recurrence, length of hospital stay, and mortality.

Keywords: Burr hole; Chronic subdural hematoma; Craniostomy; Twist drill.