Related Experiment Video
Updated: Aug 7, 2026
A Large Lateral Craniotomy Procedure for Mesoscale Wide-field Optical Imaging of Brain Activity
Published on: May 7, 2017
Craniotomy hematoma was removed from the bone flap and multiple holes were drilled on the bone flap: A case report
Insights
A novel surgical technique involving multiple burr holes effectively treated a recurrent chronic subdural hematoma (CSDH). This innovative approach offers a new option for refractory CSDH cases.
Area of Science:
- Neurosurgery
- Surgical Innovation
Background:
- Chronic subdural hematoma (CSDH) is a prevalent neurosurgical condition.
- Standard burr-hole drainage for CSDH has a significant recurrence rate of up to 25%.
Observation:
- A patient with recurrent CSDH, refractory to two previous surgeries, presented with severe headache.
- The patient underwent a novel surgical procedure involving multiple burr holes for hematoma removal.
Findings:
- The new technique, inspired by moyamoya disease surgery, utilizes scalp ingrowth through bone perforations.
- This facilitated absorption and resolution of the refractory CSDH, leading to successful patient recovery.
Implications:
- This case demonstrates a promising new surgical method for treating challenging and recurrent cases of chronic subdural hematoma.
- The technique offers potential for improved outcomes in refractory CSDH patients.
Background:
Chronic subdural hematoma (CSDH) is a common disease in neurosurgery department. Burr-hole drainage is the main surgical treatment. And the recurrence rate is as high as 25%.
Case Report:
In this case, a male patient with CSDH in the left frontotemporal parietal region underwent 2 drilling and drainage operations in the local hospital, but the hematoma recurred after operations. Being unable to bearing the repeated and progressive aggravation of headache, he came to our hospital for treatment. After considering the comprehensive situation, we use a new surgical method, removal of hematoma by drilling multiple holes in the lateral skull, to cure the patient.
Conclusions:
We get inspirations from the treatment of moyamoya disease surgery, through the bone holes the scalp forms many "meat column" like structures which have powerful capability in absorption, so the scalp could deep into the hematoma, then the CSDH could be cured. Provide a new surgical method for the treatment of refractory CSDH.
More Related Videos
08:25Intravital Imaging of Fluorescent Protein Expression in Mice with a Closed-Skull Traumatic Brain Injury and Cranial Window Using a Two-Photon Microscope
Published on: April 21, 2023
04:26Author Spotlight: A Reproducible and Efficient Method for Accessing Porcine Brain via Craniectomy
Published on: July 5, 2024
