Management of Complications in Chronic Subdural Hematoma Surgery
Chapter from the book:
Güvenç,
G.
(ed.)
2025.
Management of Cranial Surgical Complications in Neurosurgery.
Synopsis
Chronic subdural hematomas are generally bleeding between the dura and arachnoid membranes, occurring after minor trauma. Advanced age, the presence of multiple comorbidities, and the use of antithrombotic medications are considered risk factors. In chronic subdural hematoma surgery, burr-holes, twist-drills, and craniotomy can be used. Complications related to surgery include recurrence, acute hematoma, infection, seizures, systemic complications, and pneumocephalus. Acute subdural hematoma and tension pneumocephalus can be serious and require immediate intervention. Middle meningeal artery embolization and tranexamic acid can be used to prevent recurrence. This compilation addresses the most common complications seen after chronic subdural surgery and the management of these complications.
