Preoperative trepanation and drainage for acute subdural hematoma: Two case reports

Lu,Tianshu; Guan,Jingyu; An,Chunli

doi:10.3892/etm.2015.2456

July-2015 Volume 10 Issue 1

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July-2015 Volume 10 Issue 1

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Case Report

Preoperative trepanation and drainage for acute subdural hematoma: Two case reports

Authors:
- Tianshu Lu
- Jingyu Guan
- Chunli An
View Affiliations / Copyright

Affiliations: Department of Pathogen Biology, School of Basic Medicine, China Medical University, Shenyang, Liaoning 110001, P.R. China, General Hospital of Shenyang Military Region, Shenyang, Liaoning 110001, P.R. China
Pages: 225-230
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Published online on: April 28, 2015

https://doi.org/10.3892/etm.2015.2456
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Abstract

Craniotomy is frequently used for the treatment of acute subdural hematoma; however, it the procedure exhibits a high mortality rate. Preoperative trepanation and drainage in an emergency ward may reduce intracranial pressure, shorten operation time and lower patient mortality, and is thus applicable to the treatment of acute subdural hematoma. The present study reports the cases of two elderly patients that benefitted from trepanation and drainage of an acute subdural hematoma. In each case, the family members of the patients refused to consent to a craniotomy; thus, burr‑hole drainage was selected as an alternative option for relieving intracranial pressure. The risks require careful evaluation when considering whether trepanation with drainage is an option for a patient. Following treatment, the two cases were cured and discharged on days 48 and 18 after admission, respectively. The present case studies indicate that trepanation with drainage may be a promising approach for reducing craniotomy‑associated mortality and closely monitoring condition variation in elderly patients. Following trepanation with drainage, certain patients do not undergo a craniotomy.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Preoperative trepanation and drainage for acute subdural hematoma: Two case reports

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