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Updated: Feb 19, 2026
Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
Endoscopic hematoma evacuation for acute subdural hematoma in a young patient: a case report
Atsushi Kuge1,2, Daisuke Tsuchiya2, Shigeki Watanabe2
1Department of Emergency Medicine Okitama Public General Hospital Yamagata Japan.
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.
