Turkish Neurosurgery 2021 , Vol 31 , Num 1
Minimally Invasive Surgical Approach for Treatment of Chronic Subdural Hematoma, Outcome in 1079 Patients
Keyvan MOSTOFI1,Morad PEYRAVI2,Babak Gharaei MOGHADDAM3
1Centre Clinical De Soyaux, Department of Neurosurgery, Charente, France
2Academic Teaching Hospital of Charity Medical, Department of Neurosurgery, Berlin, Germany
3Neurosurgical Clinic of Dr Gharaei, Department of Neurosurgery, Tehran, Islamic Republic of Iran
DOI : 10.5137/1019-5149.JTN.28317-19.3 AIM: To present the authors? experience in treatment of chronic subdural hematoma (CSDH) by a minimally surgical percutaneous approach.

MATERIAL and METHODS: We relate our experience of mini-invasive evacuation of chronic subdural hematoma. Between May 2006 and December 2017, 1079 patients have been operated for percutaneous evacuation of chronic subdural hematoma. Prior to operation, the volume of hematoma was measured quantitatively by using a software for CT scan.

RESULTS: From May 2006 to December 2017, 1079 patients underwent mini-invasive percutaneous evacuation (MIPE). Of the 1079 patients, 994 (92.12%) became asymptomatic or improved clinically. Six weeks later, the scan revealed the hematoma had wholly disappeared in 699 (64.78%) of the cases. We had one postoperative abscess.

CONCLUSION: Treatment of CSDH using our MIPE technique is a safe method with satisfactory outcome and a good therapeutic alternative to the craniostomy. Keywords : Chronic subdural hematoma, Minimally invasive neurosurgery, Percutaneous evacuation

Corresponding author : Keyvan MOSTOFI, keyvan.mostofi@yahoo.fr