Neuroendoscopic Removal of Acute Subdural Hematoma with Contusion: Advantages for Elderly Patients

Figure 1

(a) Axial plain CT scan at the time of admission shows left acute subdural hematoma and bilateral frontal contusion with thickness of 14 mm and midline shift of 8 mm. There is a bruised area in the right parietal region without bone fracture. (b) Axial plain CT scan 72 hours after admission shows worsened acute subdural hematoma with thickness of 16 mm and midline shift of 9 mm. Massive contusion of the left frontal lobe has occurred. (c) Radiographic frontal view shows the location of the burr hole 4 cm above the left eyebrow. (d) Axial plain CT scan after surgery shows reduced hematoma. Midline shift had improved to 4 mm. There is a small amount of air in the subdural space. Burr hole is covered by bone powders.

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