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

Figure 2

(a) Axial plain CT scan at the time of admission shows right acute subdural hematoma and right frontal and temporal contusion with thickness of 10 mm and midline shift of 6 mm. There is a bruised area in the left temporal region without bone fracture. (b) Axial plain CT scan 48 hours after admission showed massive contusion and uncal herniation. The midline shift has worsened to 9 mm. (c) Most hematoma was removed and midline shift was completely resolved. The massive contusion in the right frontal lobe was reduced. The information drain was inserted into the subdural space. (d) Radiographic frontal view shows location of the burr hole 3 cm above the right eyebrow.

(a)

(b)

(c)

(d)