{"id":1638,"date":"2023-03-22T10:18:48","date_gmt":"2023-03-22T09:18:48","guid":{"rendered":"https:\/\/jahs.eu\/?page_id=1638"},"modified":"2023-03-22T10:38:28","modified_gmt":"2023-03-22T09:38:28","slug":"high-speed-drill-craniostomy-as-a-minimally-invasive-method-of-chronic-subdural-hematoma-management-preliminary-results-of-a-pilot-study","status":"publish","type":"page","link":"https:\/\/jahs.eu\/hr\/high-speed-drill-craniostomy-as-a-minimally-invasive-method-of-chronic-subdural-hematoma-management-preliminary-results-of-a-pilot-study\/","title":{"rendered":"High-speed drill craniostomy as a minimally invasive method of chronic subdural hematoma management. Preliminary results of a pilot study"},"content":{"rendered":"

<\/p>\n

High-speed drill craniostomy as a minimally <\/strong>invasive method of chronic subdural <\/strong>hematoma management. Preliminary <\/strong>results of a pilot study<\/strong><\/p>\n

\"\"<\/a><\/p>\n

1,2 Alen Ron\u010devi\u0107
\n1 Goran Blagus
\n1,2 Marina Veki\u0107 Mu\u017eevi\u0107
\n1,2 Dario Mu\u017eevi\u0107
\n3 Bruno Splavski<\/p>\n

1 Osijek University Hospital Center, Osijek, Croatia
\n2 Osijek Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
\n3 University of Applied Health Sciences, Zagreb, Croatia<\/p>\n

\n

Abstract<\/strong>
\nObjectives<\/strong>:<\/p>\n

The objective of this study was to assess the safety and efficiency of minimally invasive high-speed drill craniostomy in the treatment of chronic subdural hematomas.<\/p>\n

Study design:<\/strong><\/p>\n

The study was designed as a retrospective case series study.<\/p>\n

Patients and Methods:<\/strong><\/p>\n

The patients with compressivechronic subdural hematomas were treated by minimally invasive high-speed craniostomy performed under local anesthesia or conscious sedation. A\u00a0 minimal skin incision was followed by a single high-speed drill hole placement in the frontal or parietal region, over the area of maximal hematoma thickness. After hematoma\u00a0 aspiration, a 1.9 mm silicone catheter was placed in subdural space and connected to gravity-assisted drainage. Patients were ambulatory immediately after surgery. Data on clinical course and outcome were recorded and analyzed.<\/p>\n

Results:<\/strong><\/p>\n

There were 23 patients (5 female, 21.7%) included in the study. The median patient age was 77.5 years (interquartile range 67 – 83). Six (26.1%) of the patients had bilateral subdural\u00a0 hematomas. Septated\/multiloculated hematomas were observed in 6 (26.1%) patients. Heterodense hematomas denoting more recent bleeding were recorded in 16 (69.5%) patients.\u00a0 The median duration of subdural drainage was 4 days (interquartile range 3 to 5). The median length of hospital stay was 9.5 days (interquartile range 6 – 16). One patient died of sepsis following a nosocomial respiratory infection. One patient developed a wound infection with subdural empyema, requiring subsequent craniotomy. One patient had deep venous\u00a0 thrombosis and pulmonary embolism. In all patients, postoperative CT scans showed a significant reduction of hematoma volume and midline shifting. No postoperative seizures were\u00a0 observed.<\/p>\n

Conclusion:<\/strong><\/p>\n

High-speed drill craniostomy is a safe, simple,\u00a0 straightforward, and effective treatment for the management of chronic subdural hematomas, including multiloculated and heterodense\u00a0 lesions. Elderly patients could most benefit from such a procedure, avoiding general anesthesia, prolonged intracranial procedures, and lengthy hospital stays.<\/p>\n

\n

Keywords<\/strong>: chronic subdural hematoma; high-speed drill, craniostomy<\/p>\n

https:\/\/doi.org\/10.24141\/1\/9\/1\/6<\/a><\/p>\n

<\/p>","protected":false},"excerpt":{"rendered":"

High-speed drill craniostomy as a minimally invasive method of chronic subdural hematoma management. Preliminary results of a pilot study 1,2 Alen Ron\u010devi\u0107 1 Goran Blagus 1,2 Marina Veki\u0107 Mu\u017eevi\u0107 1,2 Dario Mu\u017eevi\u0107 3 Bruno Splavski 1 Osijek University Hospital Center, Osijek, Croatia 2 Osijek Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1638","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/pages\/1638","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/comments?post=1638"}],"version-history":[{"count":3,"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/pages\/1638\/revisions"}],"predecessor-version":[{"id":1658,"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/pages\/1638\/revisions\/1658"}],"wp:attachment":[{"href":"https:\/\/jahs.eu\/hr\/wp-json\/wp\/v2\/media?parent=1638"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}