Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

121
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
121
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

219
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
219

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Effectiveness of manual therapy with pragmatic physiotherapy for rotator cuff-related shoulder pain: a pilot randomized clinical trial.

Archives of physiotherapy·2026
Same author

Detecting Uncoded Self-Harm in Veterans' Electronic Health Records Using Positive and Unlabeled Learning: Retrospective Cohort Study.

Journal of medical Internet research·2026
Same author

Rethinking strength testing in rotator cuff-related shoulder pain: a clinical tradition that lacks muscle.

The Journal of manual & manipulative therapy·2026
Same author

Detecting Uncoded Self-Harm in Veterans' Electronic Health Records Using Positive and Unlabeled Learning: Retrospective Observational Study.

Journal of medical Internet research·2026
Same author

Education Intervention for Evaluation and Living Donor Kidney Transplantation: A randomized trial.

medRxiv : the preprint server for health sciences·2026
Same author

Severe cord compression due to unique extradural meningeal melanocytoma of intermediate grade.

Surgical neurology international·2026

Related Experiment Video

Updated: Nov 24, 2025

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
09:01

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

8.2K

Delayed Surgical Intervention in Acute Subdural Hematoma.

Omar S Akbik1, Robert Starling1, Ross Green1

  • 1Neurosurgery, University of New Mexico, Albuquerque, USA.

Cureus
|December 28, 2020
PubMed
Summary

Delayed evacuation of acute subdural hematoma (ASDH) in elderly patients with good neurologic exams is safe. This approach allows for smaller surgeries and reduced risks, improving outcomes in this population.

Keywords:
acute subdural hematomadelayed surgical intervention

More Related Videos

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

12.3K
Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
09:14

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model

Published on: June 18, 2021

2.6K

Related Experiment Videos

Last Updated: Nov 24, 2025

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
09:01

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

8.2K
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

12.3K
Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
09:14

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model

Published on: June 18, 2021

2.6K

Area of Science:

  • Neurosurgery
  • Geriatric Medicine
  • Trauma Surgery

Background:

  • Current guidelines advocate immediate surgical evacuation for acute subdural hematoma (ASDH) meeting specific thickness or midline shift criteria, regardless of neurological status.
  • Standard surgical treatment involves large craniotomy or craniectomy.
  • Elderly patients meeting these criteria but exhibiting a stable neurologic exam may be candidates for delayed treatment.

Purpose of the Study:

  • To evaluate the safety and efficacy of delayed surgical evacuation for acute subdural hematoma (ASDH) in elderly patients.
  • To assess the impact of delayed treatment on surgical approach and patient outcomes.

Main Methods:

  • Retrospective review of 19 elderly patients (≥60 years) with ASDH undergoing delayed surgical evacuation between February 2013 and July 2019.
  • Primary outcome measure was Glasgow Outcome Score (GOS) at discharge and 3-month follow-up.
  • Patients were selected based on ASDH criteria and a monitorable neurologic exam.

Main Results:

  • The median age of patients was 77 years, with 84% being 60 years or older.
  • The median delay between initial evaluation and surgical evacuation was 11 days.
  • At 3-month follow-up, 68% of patients achieved a favorable Glasgow Outcome Score (GOS 4-5), with an 11% mortality rate.

Conclusions:

  • Delayed surgical intervention for ASDH in elderly patients with a good neurologic exam is a safe and viable strategy.
  • This approach facilitates smaller incisions, reduced operative times, and decreased surgical risks, which are critical considerations in the geriatric population.
  • Close neuromonitoring is essential for successful delayed management of ASDH in elderly individuals.