Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Subdural hematoma surgery
Introduction
Overview
Overview
Surgery is the first-line treatment option for patients with subdural hematoma and include craniotomy, burr hole trephination, decompressive craniectomy.
Indications
Indications
- Surgery is the first-line treatment option for patients with subdural hematoma. Surgery is usually reserved for patients with either:
- In acute SDH:
- Advanced age
- Clot thickness >10 mm
- Midline shift >5 mm
- ≥2 decrease in GCS
- Abnormal pupill
- In chronic SDH
- Cognitive impairment
- Progressive neurologic symptoms
- Clot thickness ≥10 mm
- Midline shift ≥5 mm
- In acute SDH:
Surgery
Surgery
- Surgery is the mainstay of treatment for subdural hematoma:
- Craniotomy
- Burr hole trephination
- Decompressive craniectomy
References
References
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.