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Endoscopic hematoma evacuation for acute subdural hematoma in a young patient: a case report
CASE: The standard treatment for acute subdural hematoma (ASDH) is large craniotomy; decompressive craniectomy may also be carried out, if needed, to prevent secondary brain damage. Recently, an endoscopic procedure for elderly patients with ASDH was carried out and reported; its safety and effectiv...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649296/ https://www.ncbi.nlm.nih.gov/pubmed/29123907 http://dx.doi.org/10.1002/ams2.295 |
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author | Kuge, Atsushi Tsuchiya, Daisuke Watanabe, Shigeki Sato, Mitsuya Kinjo, Toshihiko |
author_facet | Kuge, Atsushi Tsuchiya, Daisuke Watanabe, Shigeki Sato, Mitsuya Kinjo, Toshihiko |
author_sort | Kuge, Atsushi |
collection | PubMed |
description | CASE: The standard treatment for acute subdural hematoma (ASDH) is large craniotomy; decompressive craniectomy may also be carried out, if needed, to prevent secondary brain damage. Recently, an endoscopic procedure for elderly patients with ASDH was carried out and reported; its safety and effectiveness were emphasized because of minimal invasiveness. We report a young case and discuss its difficulties and tips. A 31‐year‐old man was found to be in a state of general convulsion. At the time of admission, we observed severe consciousness disturbance, anisocoria, and left hemiparesis. Computed tomography showed a massive subdural hematoma with marked midline shift. OUTCOME: Osmotherapy and emergency trepanation improved anisocoria. An endoscopic procedure under local anesthesia was sequentially selected. After surgery, the patient's symptoms clearly improved. CONCLUSION: Although the standard treatment for ASDH is craniotomy, endoscopic surgery may be useful in some cases. |
format | Online Article Text |
id | pubmed-5649296 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-56492962017-11-09 Endoscopic hematoma evacuation for acute subdural hematoma in a young patient: a case report Kuge, Atsushi Tsuchiya, Daisuke Watanabe, Shigeki Sato, Mitsuya Kinjo, Toshihiko Acute Med Surg Case Reports CASE: The standard treatment for acute subdural hematoma (ASDH) is large craniotomy; decompressive craniectomy may also be carried out, if needed, to prevent secondary brain damage. Recently, an endoscopic procedure for elderly patients with ASDH was carried out and reported; its safety and effectiveness were emphasized because of minimal invasiveness. We report a young case and discuss its difficulties and tips. A 31‐year‐old man was found to be in a state of general convulsion. At the time of admission, we observed severe consciousness disturbance, anisocoria, and left hemiparesis. Computed tomography showed a massive subdural hematoma with marked midline shift. OUTCOME: Osmotherapy and emergency trepanation improved anisocoria. An endoscopic procedure under local anesthesia was sequentially selected. After surgery, the patient's symptoms clearly improved. CONCLUSION: Although the standard treatment for ASDH is craniotomy, endoscopic surgery may be useful in some cases. John Wiley and Sons Inc. 2017-07-17 /pmc/articles/PMC5649296/ /pubmed/29123907 http://dx.doi.org/10.1002/ams2.295 Text en © 2017 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine. This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Reports Kuge, Atsushi Tsuchiya, Daisuke Watanabe, Shigeki Sato, Mitsuya Kinjo, Toshihiko Endoscopic hematoma evacuation for acute subdural hematoma in a young patient: a case report |
title | Endoscopic hematoma evacuation for acute subdural hematoma in a young patient: a case report |
title_full | Endoscopic hematoma evacuation for acute subdural hematoma in a young patient: a case report |
title_fullStr | Endoscopic hematoma evacuation for acute subdural hematoma in a young patient: a case report |
title_full_unstemmed | Endoscopic hematoma evacuation for acute subdural hematoma in a young patient: a case report |
title_short | Endoscopic hematoma evacuation for acute subdural hematoma in a young patient: a case report |
title_sort | endoscopic hematoma evacuation for acute subdural hematoma in a young patient: a case report |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649296/ https://www.ncbi.nlm.nih.gov/pubmed/29123907 http://dx.doi.org/10.1002/ams2.295 |
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