Acute subdural hematoma evacuations frequently necessitate large craniotomies with extended operative times and high relative blood loss, which can lead to additional morbidity for the patient.
While endoscopic minimally invasive approaches to chronic subdural collections have been successfully demonstrated, this technique was reported for the first time with an 87-year-old patient presenting with a large acute right-sided subdural hematoma successfully evacuated via an endoscopic minimally invasive technique 1).
Endoscopic hematoma evacuation of acute and subacute SDH is a safe and effective method of clot removal that minimizes operative complications. This technique may be a less invasive method for treating elderly patients with acute and subacute SDHs. 2).
Update: Endoscopic evacuation of acute subdural hematoma
1) Codd PJ, Venteicher AS, Agarwalla PK, Kahle KT, Jho DH. Endoscopic burr hole evacuation of an acute subdural hematoma. J Clin Neurosci. 2013 Dec;20(12):1751-3. doi: 10.1016/j.jocn.2013.02.019. Epub 2013 Aug 17. PubMed PMID: 23962631
2) Yokosuka K, Uno M, Matsumura K, Takai H, Hagino H, Matsushita N, Toi H, Matsubara S. Endoscopic hematoma evacuation for acute and subacute subdural hematoma in elderly patients. J Neurosurg. 2015 Apr 24:1-5. [Epub ahead of print] PubMed PMID: 25909568.