Endoscopic hematoma evacuation for acute and subacute subdural hematoma in elderly patients
| العنوان: | Endoscopic hematoma evacuation for acute and subacute subdural hematoma in elderly patients |
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| المؤلفون: | Shunji Matsubara, Kohei Matsumura, Nobuhisa Matsushita, Kimihiko Yokosuka, Hiroki Takai, Masaaki Uno, Hirotaka Hagino, Hiroyuki Toi |
| المصدر: | Journal of Neurosurgery. 123:1065-1069 |
| بيانات النشر: | Journal of Neurosurgery Publishing Group (JNSPG), 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Aged, 80 and over, Male, medicine.medical_specialty, business.industry, Glasgow Coma Scale, Brain Contusion, Endoscopy, medicine.disease, Cannula, Surgery, Treatment Outcome, Hematoma, Pharmacotherapy, Anesthesia, Antithrombotic, medicine, Hematoma, Subdural, Acute, Humans, Female, Local anesthesia, business, Hematoma evacuation, Aged, Retrospective Studies |
| الوصف: | OBJECT Endoscopic surgery was performed for acute or subacute subdural hematoma (SDH), and its effectiveness and safety in elderly patients were evaluated. METHODS Between September 2007 and November 2013, endoscopic surgery was performed in 11 elderly patients with acute SDH (8 patients) and subacute SDH (3 patients). The criteria for surgery were as follows: 1) the presence of clinical symptoms; 2) age older than 70 years; 3) no brain injury (intracerebral hematoma, brain contusion); 4) absence of an enlarging SDH; and 5) no high risk of bleeding. Hematoma evacuation was performed with a 4-mm rigid endoscope with a 0° lens and a malleable irrigation suction cannula. RESULTS Endoscopic surgery was performed under local anesthesia. The mean age of the patients was 82.6 years (range 73–91 years). There were 5 female and 6 male patients. The mean preoperative Glasgow Coma Scale score was 12, and 5 patients had been receiving antithrombotic drug therapy. The mean operation time was 85 minutes. Only 1 patient had rebleeding, and reoperation with the same technique was performed uneventfully in this individual. A total of 7 patients had a good recovery (modified Rankin Scale Score 0–2) at discharge. CONCLUSIONS Endoscopic hematoma evacuation of acute and subacute SDH is a safe and effective method of clot removal that minimizes operative complications. This technique may be a less invasive method for treating elderly patients with acute and subacute SDHs. |
| تدمد: | 1933-0693 0022-3085 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e90ba50f58ff195b5abc7d15cb4e5cf0 https://doi.org/10.3171/2014.10.jns14915 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....e90ba50f58ff195b5abc7d15cb4e5cf0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19330693 00223085 |
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