Department of Neurosurgery, Yantai Yuhuangding Hospital, Yantai, China.
Medicine (Baltimore). 2023 May 26;102(21):e33781. doi: 10.1097/MD.0000000000033781.
Chronic subdural hematoma (CSDH) is a common disease in neurosurgery department. Burr-hole drainage is the main surgical treatment. And the recurrence rate is as high as 25%.
In this case, a male patient with CSDH in the left frontotemporal parietal region underwent 2 drilling and drainage operations in the local hospital, but the hematoma recurred after operations. Being unable to bearing the repeated and progressive aggravation of headache, he came to our hospital for treatment. After considering the comprehensive situation, we use a new surgical method, removal of hematoma by drilling multiple holes in the lateral skull, to cure the patient.
We get inspirations from the treatment of moyamoya disease surgery, through the bone holes the scalp forms many "meat column" like structures which have powerful capability in absorption, so the scalp could deep into the hematoma, then the CSDH could be cured. Provide a new surgical method for the treatment of refractory CSDH.
慢性硬脑膜下血肿（CSDH）是神经外科的常见病。颅骨钻孔引流是主要的手术治疗方法，但复发率高达 25%。
本例患者为左额颞顶枕区 CSDH，曾在当地医院行 2 次钻孔引流术，但术后血肿复发。由于无法忍受头痛的反复加重，他来我院就诊。综合考虑后，我们采用了一种新的手术方法，通过在侧颅骨上钻孔清除血肿，成功治愈了患者。
我们从烟雾病手术治疗中得到启发，头皮上的骨孔形成了许多类似“肉柱”的结构，具有强大的吸收能力，使头皮能够深入血肿内部，从而治愈 CSDH。为治疗难治性 CSDH 提供了一种新的手术方法。
