Work

Neuro-endoscopic assisted small bone window treatment for acute subdural hematoma in young and middle aged patients: preliminary experience and techniques exploration of 6 cases

Year: 2026

Type: article

Abstract: Objective This study aimed to explore the preliminary efficacy of neuroendoscopy-assisted small bone window craniotomy to treat acute subdural hematoma in young and middle-aged patients. Methods We conducted a retrospective analysis of clinical data from six young and middle-aged patients with acute subdural hematoma who underwent neuroendoscopy-assisted small bone window craniotomy at our hospital between October 2021 and June 2024. The acute subdural hematomas were cleared using a neuroendoscope. We analyzed the recorded surgical times, hematoma clearance rates, changes in preoperative and postoperative Glasgow Coma Scale scores, and complications. Results All patients achieved satisfactory hematoma clearance, with an overall clearance rate of >96%. Intraoperative hemostasis was satisfactory, and no complications such as postoperative rebleeding, were observed. Postoperative neurological function recovered well. Conclusion Neuroendoscopy-assisted small bone window surgery is a safe and effective minimally invasive option, especially suitable for young and middle-aged patients with acute subdural hematoma; however, it requires larger sample validation.

Source: Interdisciplinary Neurosurgery

DOI: 10.1016/j.inat.2026.102402

Authors: Feng Wang, Han Luo

Institution: Chongqing University

Language: English

Topic: Neurosurgical Procedures and Complications

Subfield: Clinical Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,910