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Chronic subdural hematoma surgery

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Chronic subdural hematoma surgery

Do you know how a chronic subdural hematoma surgery is going?! Let's get into it, step by step! Generally speaking, a chronic subdural hematoma is an "old" collection of blood and blood breakdown products between the surface of the brain and its outermost covering (the dura). It begins several weeks after the first bleeding.So, from top to bottom, steps 1 and 2 shows the opening of the dura mater to reveal the hematoma's capsule; 3 - resection of the external layer of the hematoma; 4 - drainage of the blood clots inside the capsule of the hematoma, revealing the internal layer beneath it; 5 and 6 - resection of the internal layer and exposition of the brain and arachnoid. This type of hemorrhage usually occurs in elderly people in use of anticoagulants or antiplatelet agents who suffer a head trauma, resulting in the damage of the bridging veins between the brain and dura mater, and slow accumulation of venous blood for weeks or months, eventually forming these capsules and clots compressing the brain to cause further damage. Sent by a neurosurgery resident @rpaglioli

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