Surgical Treatment of Chronic Subdural Hematoma under Local Anesthesia: Case Report and Literature Review

Abstract: Introduction Optimal surgical treatment for chronic subdural hematoma (CSDH) in the elderly has been controversial. Whenever possible, a less invasive technique should be used to avoid complications. Case Report The patient was 82-years-old, with JPS; with diagnosis of liver cirrhosis due to alcohol abuse and history of recent myocardial infarction. He was admitted to the emergency room with temporal-spatial disorientation. The Glasgow coma scale (GCS) value on admission was 9. Left hemiparesis and osteotendinous hyperreflexia in the left side of the body. Noncontrast-enhanced cranial computed tomography (CT) showed right frontoparietal hypodense lesion with mass effect. Due to the clinical conditions of the patient, drainage of the hematoma was indicated through local anesthesia and sedation with midazolam. He was discharged after 8 days with improvement in his mental and neurological condition. Conclusion Drainage of CSDH using local anesthesia in an elderly person with severe comorbidity can reach excellent results.

Show object

• Alternative title: Tratamento Cirúrgico de Hematoma Subdural Crônico sob Anestesia Local: Relato de Caso e Revisão de Literatura
• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Surgical Treatment of Chronic Subdural Hematoma under Local Anesthesia: Case Report and Literature Review ; day:18 ; month:10 ; year:2023 ; Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery ; (18.10.2023)

Contributors, Places and Time

• Contributor: Pereira, Carlos Umberto ; Oliveira, Débora Moura da Paixão ; Setton, Lauro Roberto de Azevedo

Further information

• DOI: 10.1055/s-0043-1774750
• URN: urn:nbn:de:101:1-2023120716501509014676
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.