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Cortical membranectomy in chronic subdural hematoma: Report of two cases
Faruk Altinel1, Cihan Altin2, Esin Gezmis3
1Department of Neurosurgery, Faculty of Medicine, University of Baskent, İzmir, Turkey.
Insights
For chronic subdural hematoma (CSH), craniotomy with subtotal membranectomy offers significant neurological improvement. This surgical approach remains a safe and effective option for selected CSH patients.
Area of Science:
- Neurosurgery
- Neurology
Background:
- Chronic subdural hematoma (CSH) management traditionally involves burr hole evacuation, often preferred over craniotomy.
- CSH can lead to significant neurological deficits, necessitating effective treatment strategies.
Observation:
- Two cases of CSH presenting with neurological deficits were treated with craniotomy followed by cortical membranectomy.
- Both patients demonstrated substantial improvement in neurological deficits post-procedure.
Findings:
- Craniotomy combined with subtotal membranectomy resulted in significant recovery of neurological function.
- This approach proved to be a safe, efficient, and potentially superior option in these selected CSH cases.
Implications:
- Craniotomy with subtotal membranectomy should be considered a viable and effective treatment for specific chronic subdural hematoma presentations.
- This case report highlights the continued relevance and efficacy of craniotomy in CSH management, challenging the universal preference for burr hole procedures.
Abstract:
Different surgical procedures have been used in the management of chronic subdural hematoma (CSDH). Nowadays treatment with burr hole is more preferable than craniotomy in most clinics. We present two cases of CSDH, which caused neurological deficits. In both cases cortical membranectomy was performed following craniotomy. After this procedure, significant improvement was observed in patients neurological deficits. We recommend that craniotomy and subtotal membranectomy may be a more adequate choice in such cases. This report underlined that craniotomy is still an acceptable, safe, efficient and even a better procedure in selected patients with CSDH.
