Definitive treatment of chronic subdural hematoma by twist-drill craniostomy and closed-system drainage

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✓ A simple method of bedside twist-drill craniostomy and closed-system drainage for evacuation of chronic and subacute subdural hematoma is introduced. The principles and theoretical considerations that form the basis for this technique are discussed. The technique was used in 21 patients with chronic or subacute subdural hematoma; it has produced results superior to those of the conventional methods used in our patient population. Possible mechanisms responsible for the better results with the simple twist-drill closed-system drainage are described.

Article Information

Address reprint requests to: Kamran Tabaddor, M.D., Department of Neurological Surgery, Albert Einstein College of Medicine, Yeshiva University, 1300 Morris Park Avenue, Bronx, New York 10461.

© AANS, except where prohibited by US copyright law.

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Figures

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    Diagram illustrating the direction of the drill in relation to skull and subdural space.

  • View in gallery

    Diagram (left) and plain skull film (right) demonstrate the position of a Scott cannula inside the subdural space.

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