Burr hole trepanation and insertion of a subperiosteal drain for chronic subdural haematoma: how I do it

Florian Ebel; Raphael Guzman; Jehuda Soleman

doi:10.1007/s00701-020-04442-2

Burr hole trepanation and insertion of a subperiosteal drain for chronic subdural haematoma: how I do it

Acta Neurochir (Wien). 2020 Nov;162(11):2707-2710. doi: 10.1007/s00701-020-04442-2. Epub 2020 Jul 9.

Authors

Florian Ebel¹, Raphael Guzman^{2

3

4}, Jehuda Soleman^{5

6

7}

Affiliations

¹ Department of Neurosurgery, University Hospital of Basel, Basel, Switzerland. florianebel@hotmail.com.
² Department of Neurosurgery, University Hospital of Basel, Basel, Switzerland.
³ Division of Pediatric Neurosurgery, University Children's Hospital of Basel, Basel, Switzerland.
⁴ Faculty of Medicine, University of Basel, Basel, Switzerland.
⁵ Department of Neurosurgery, University Hospital of Basel, Basel, Switzerland. jehuda.soleman@gmail.com.
⁶ Division of Pediatric Neurosurgery, University Children's Hospital of Basel, Basel, Switzerland. jehuda.soleman@gmail.com.
⁷ Faculty of Medicine, University of Basel, Basel, Switzerland. jehuda.soleman@gmail.com.

PMID: 32519159
DOI: 10.1007/s00701-020-04442-2

Abstract

Background: Burr hole trepanation (BHT) is the most commonly used surgical method for the treatment of chronic subdural haematoma (cSDH).

Method: We give a brief overview on the indication for surgical treatment of cSDH, the surgical technique of BHT, and specific perioperative considerations. In particular, we emphasise on the technique of a subperiosteal drain placement.

Conclusion: BHT is a valid option to treat chronic subdural haematoma. Careful surgical technique and placement of a subperiosteal drain is required to minimise complications and improve outcome.

Keywords: Burr hole trepanation; Chronic subdural haematoma; Neurosurgery; Subperiosteal drainage.

MeSH terms

Drainage / methods*
Hematoma, Subdural, Chronic / surgery*
Humans
Subdural Space / surgery*
Treatment Outcome
Trephining / methods*