Treatment Approaches for Chronic Subdural Hematoma

The treatment strategies for chronic subdural hematoma (CSDH) primarily encompass burr hole drainage, medical therapy, and craniotomy surgery.

1. Burr Hole Drainage

This is currently the most common treatment approach. A surgeon drills a small hole in the patient's skull, through which accumulated blood is drained. This method is relatively straightforward, with a shorter recovery time, suitable for most patients.

2. Medical Therapy

For patients with smaller hematomas or who cannot tolerate surgery, medical therapy may be attempted. Atorvastatin is a commonly used medication that can help reduce the hematoma. This approach is being tried in select patients, with varying effectiveness.

3. Craniotomy Surgery

For more severe cases, craniotomy surgery is necessary. The surgeon performs the operation to thoroughly remove the intracranial hematoma. Although this method involves greater trauma, it is the most effective treatment for severe patients.

4. Observation and Follow-up

For patients with smaller hematomas and inconspicuous symptoms, doctors may opt for regular observation and follow-up. In such cases, patients undergo periodic imaging examinations, such as CT or MRI, to monitor changes in the hematoma.

5. Lifestyle Adjustments

Regardless of the chosen treatment, patients must avoid head injuries in daily life. Adequate rest and avoiding strenuous activities are also crucial.

6. Rehabilitation Training

Post-surgery, patients may require rehabilitation training, including physical therapy and speech therapy, to aid in restoring normal functions. The specific rehabilitation plan is tailored to each patient's individual circumstances.

7. Psychological Support

CSDH and its treatment process can psychologically impact patients. Appropriate psychological support and counseling can help patients better cope with the illness and treatment journey.

Through these comprehensive and individualized treatment methods, CSDH management can be optimized. Patients and their families should closely collaborate with doctors to select the most suitable treatment plan.