Surgery

Chronic Subdural Hematoma Treatment【Kishiwada Tokushukai Hospital】

implementation facility

Kishiwada Tokushukai Hospital

Facility Details

program name: Chronic Subdural Hematoma Treatment【Kishiwada Tokushukai Hospital】

genre

Surgery：Surgery

program details: Chronic subdural hematoma, which can develop even from a minor head injury, is treated promptly and safely with hematoma removal surgery under local anesthesia. Early detection and treatment aim to improve symptoms.

requirement, condition for apply: Eligibility Criteria

1. Medical Information:
Diagnosis (e.g., chronic subdural hematoma)
Detailed symptoms (e.g., headache, hemiparesis, cognitive decline, loss of motivation)
Examination results from other institutions (confirmation of hematoma via CT or MRI)
Presence of comorbidities (e.g., diabetes, hypertension, heart disease)

2. History of Treatment:
History of head trauma, surgeries, or neurosurgical treatments
Current medications (e.g., antiplatelet agents, anticoagulants)
Presence of allergies or adverse drug reactions

3. Age and Physical Fitness:
Assessment of whether elderly patients or those with comorbidities can tolerate surgery or anesthesia
Evaluation of suitability for surgery under local anesthesia

4. Severity and Urgency of Symptoms:
Degree of symptoms caused by the hematoma (e.g., headache, hemiparesis, or disorientation)
Confirmation of hematoma size and degree of compression via CT or MRI

5. Other Conditions:
Ability to manage blood pressure and antiplatelet medication usage
Willingness and ability to cooperate with postoperative hospitalization and followup care

precaution, contraindication: 【Precautions and Contraindications】

1. Cases Not Suitable for Treatment:
Patients with severe comorbidities (e.g., heart disease, untreated infections, renal failure) may face high surgical or anesthesia risks, limiting treatment options.
Patients unable to discontinue antiplatelet or anticoagulant medications may have an elevated bleeding risk, restricting treatment options.

2. Risk of Hematoma Recurrence:
About 10% of patients may experience hematoma recurrence after surgery, necessitating an understanding of the possibility of reoperation.
Patients requiring longterm anticoagulant use are at higher risk of recurrence.

3. Postoperative Complication Risks:
Surgery carries risks of infection, bleeding, and hematoma recurrence, with careful postoperative management particularly essential for elderly patients.
Rapid relief of brain compression may cause temporary postoperative headaches or dizziness.

# 【Important PreTreatment Information】

1. Preoperative Preparation:
Follow medical instructions for discontinuation of antiplatelet or anticoagulant medications to mitigate bleeding risks.
Preoperative CT or MRI scans are critical for assessing the condition of the hematoma and determining surgical eligibility.

2. Postoperative Care and FollowUp:
Infection prevention and bleeding management are essential after surgery. Contact a medical institution promptly if headaches, dizziness, or signs of infection occur.
A hospital stay of about one week is typically required, followed by regular outpatient followup.

3. Lifestyle and Daily Precautions:
Protect the head from strong impacts after discharge.
Manage blood pressure and adopt lifestyle improvements, such as avoiding alcohol and smoking.

4. Regular FollowUp:
Regular CT or MRI followups are necessary to monitor hematoma and intracranial pressure postsurgery.
Attend scheduled outpatient visits and promptly report any abnormalities to the physician.

5. Emergency Response:
Contact a medical institution immediately if symptoms such as hemiparesis, headache, altered consciousness, or gait disturbances recur after discharge.
Confirm emergency contact information for accessible medical institutions and attending physicians in advance.