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Related Experiment Video

Updated: Mar 5, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

Chronic Subdural Medical Management.

David Roh¹, Michael Reznik¹, Jan Claassen¹

¹Department of Neurology, Columbia University Medical Center, 177 Fort Washington Avenue, Milstein Building 8GS-300, New York, NY 10032, USA.

Neurosurgery Clinics of North America

|March 23, 2017

Summary

This summary is machine-generated.

Asymptomatic chronic subdural hematomas (cSDHs) are increasingly detected. This review discusses nonoperative medical management strategies for these common brain bleeds.

Keywords:

Angiotensin-converting enzyme inhibitor Antiepileptic drug Antifibrinolytic HMG-CoA reductase inhibitor Medical management Nonoperative Steroid Subdural hematoma

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Area of Science:

Neurology
Neurosurgery
Geriatric Medicine

Background:

Chronic subdural hematomas (cSDHs) are becoming more prevalent.
Increased detection is linked to aging populations and anticoagulant use.
Some cSDHs exhibit spontaneous resolution.

Purpose of the Study:

To review current and potential nonoperative medical management strategies for cSDH.
To explore conservative approaches for asymptomatic or minimally symptomatic cSDH.

Main Methods:

Literature review of nonoperative management of cSDH.
Discussion of medical interventions and observation protocols.

Main Results:

Asymptomatic cSDH detection is rising.
Spontaneous resolution is a known characteristic of some cSDH.
Medical management offers an alternative to surgery in select cases.

Conclusions:

Nonoperative medical management is a viable option for select cSDH patients.
Further research into optimal medical strategies is warranted.
Conservative management may reduce healthcare burden and surgical risks.