急性硬膜下血腫（ASDH）における「意識清明から急速な悪化」を呈する症例に対する小開頭術による内視鏡支援下血腫除去術：症例報告

Ryo Matsuzaki¹, Yuki Sakaeyama¹, Sayaka Terazono¹

¹Neurosurgery, Toho University, Tokyo, JPN.

|February 2, 2026

Abstract:

Craniotomy has traditionally been the standard procedure for acute subdural hematoma (ASDH). As ASDH occurs predominantly in the elderly, its incidence is expected to increase in aging societies. In elderly patients with comorbidities, craniotomy may not always be feasible due to its invasiveness and long operative time. Endoscopic-assisted hematoma evacuation can potentially reduce operative time and surgical invasiveness. Here, we report a case treated with endoscopic-assisted hematoma evacuation and discuss its indications and technical considerations.

キーワード:

急性硬膜下血腫開頭術内視鏡下血腫除去術硬性内視鏡外科的侵襲

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