Burr hole is not burr hole: technical considerations to the evacuation of chronic subdural hematomas

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• 作者：Stephan Emich (1)
  Manfred Dollenz (1)
  Peter A. Winkler (1)
  
  1. Department of Neurosurgery ; Christian Doppler Klinik ; Paracelsus Medical University ; Ignaz Harrer Str. 79 ; 5020 ; Salzburg ; Austria
  
• 关键词：Chronic ; Subdural hematoma ; Burr hole ; Technique
• 刊名：Acta Neurochirurgica
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：157
• 期：3
• 页码：497-499
• 全文大小：145 KB
• 参考文献：1. Frati A, Salvati M, Mainiero F, Ippoliti F, Rocchi G, Raco A, Caroli E, Cantore G, Delfini R (2004) Inflammation markers and risk factors for recurrence in 35 patients with a posttraumatic chronic subdural haematoma: a prospective study. J Neurosurg 100:24鈥?2 CrossRef
  2. Santarius T, Kirkpatrick PJ, Ganesan D, Chia HL, Jalloh I, Smielewski P, Richards HK, Marcus H, Parker RA, Price SJ, Kirollos RW, Pickard JD, Hutchinson PJ (2009) Use of drains versus no drains after burr-hole evacuation of chronic subdural haematoma: a randomised controlled trial. Lancet 374:1067鈥?073 CrossRef
  3. Weigel R, Schmiedek P, Krauss JK (2003) Outcome of contemporary surgery for chronic subdural haematoma: evidence based review. J Neurol Neurosurg Psychiatry 74:937鈥?43 CrossRef
  4. Tosaka M, Sakamoto K, Watanabe S, Yodonawa M, Kunimine H, Aishima K, Fujii T, Yoshimoto Y (2013) Critical classification of craniostomy for chronic subdural hematoma; safer technique for hematoma aspiration. Neurol Med Chir (Tokyo) 53:273鈥?78 CrossRef
  5. Mori K, Maeda M (2001) Surgical treatment of chronic subdural hematoma in 500 consecutive cases: clinical characteristics, surgical outcome, complications, and recurrence rate. Neurol Med Chir (Tokyo) 41:371鈥?81 CrossRef
  6. Stani拧i膰 M, Hald J, Rasmussen IA, Pripp AH, Ivanovi膰 J, Kolstad F, Sundseth J, Z眉chner M, Lindegaard KF (2013) Volume and densities of chronic subdural haematoma obtained from CT imaging as predictors of postoperative recurrence: a prospective study of 107 operated patients. Acta Neurochir 155:323鈥?33 CrossRef
  7. Berghauser Pont LM, Dammers R, Schouten JW, Lingsma HF, Dirven CM (2012) Clinical factors associated with outcome in chronic subdural haematoma: a retrospective cohort study of patients on preoperative corticosteroid therapy. Neurosurgery 70:873鈥?80 CrossRef
  8. Yadav YR, Yadav S, Parihar VS (2013) Modified twist drill technique in the management of chronic subdural hematoma. Turk Neurosurg 23:50鈥?4
  
• 刊物主题：Neurosurgery; Interventional Radiology; Neuroradiology; Neurology; Surgical Orthopedics; Minimally Invasive Surgery;
• 出版者：Springer Vienna
• ISSN：0942-0940

文摘

Background The organization of a multicenter survey about chronic subdural hematomas has triggered the discussion on different surgical techniques of burr hole evacuation. Such a standard operation gives neurosurgeons plenty of scope for creating their own way. Methods The procedure presented is one burr hole with a closed drainage system. In detail, each single step is enrolled: the planning of the burr hole, positioning, direction of skin incision, opening of the dura, drain positioning, channeling through the galea, and postoperative care. Conclusions We present a thorough summary that could serve as a common standard and as a basis for comparison of future trials.