Avoiding Pneumocephalus after Chronic Subdural Hematoma Evacuation: The Temporary Double Drainage Technique
|Department of Neurosurgery, Universita Politecnica delle Marche, Italy|
|Corresponding Author :||Giulio Cecchini
Department of Neurosurgery
Universita Politecnica delle Marche
E-mail: [email protected]
|Received August 20, 2015; Accepted August 27, 2015; Published August 31, 2015|
|Citation:Cecchini G (2015) Avoiding Pneumocephalus after Chronic Subdural Hematoma Evacuation: The Temporary Double Drainage Technique. J Neurol Disord S1:001. doi:10.4172/2329-6895.S1-001|
|Copyright: ©2015 Cecchini G. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Aim: Chronic subdural hematoma presents an increasing challenge as the population ages. Despite the plethora of surgical techniques described, a high recurrence rate is still encountered. One of the possible risk factor for recurrence is post-operative pneumocephalus. The technique described is focused on avoiding post-operative pneumocephalus and obtaining complete hematoma evacuation.
Methods: We describe a simple surgical technique consisting of a temporary double air-fluid inverse drainage. Results: The technique proposed in this paper allows the complete evacuation of the hematoma fluid and, at the same time, the removal of intracranial air employing the same devices normally used in the standard procedure.
Conclusion: The technique proposed in this paper is safe, simple and could be highly effective