Which surgical procedure is effective for refractory chronic subdural hematoma? Analysis of our surgical procedures and literature review.

Hiroaki Matsumoto,Hiroaki Hanayama,Takashi Okada,Yasuo Sakurai,Hiroaki Minami,Atsushi Masuda,Shogo Tominaga,Katsuya Miyaji,Ikuya Yamaura,Yasuhisa Yoshida

Journal of Clinical Neuroscience（2018）

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摘要

•We analyzed our surgical procedures and outcomes for refractory chronic subdural hematoma (CSDH).•Embolization of the middle meningeal artery may be suitable for refractory CSDH without organized hematoma.•We reviewed and discussed craniotomy and membranectomy for organized CSDH.•For refractory cases of organized CSDH, large craniotomy or mini-craniotomy assisted by endoscope may be suitable.

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关键词

Chronic subdural hematoma,Middle meningeal artery,Endoscopic surgery,Endovascular embolization,Recurrence,Craniotomy

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