Surgery not linked to better outcomes for acute subdural hematoma, study finds

Researchers observed no improvement in functional outcomes in patients with acute subdural hematoma who underwent surgical evacuation compared with initial conservative treatment, according to a study published in The Lancet Neurology.
“In patients with rapid neurological deterioration because of a large acute subdural hematoma, the decision to operate in the acute phase is clear,” Thomas A. van Essen, MD, of the Leiden University Medical Centre in the Netherlands, and colleagues wrote. “Without acute surgery, high intracranial pressure will persist, and the patient will die.

Researchers observed no improvement in functional outcomes in patients with acute subdural hematoma who underwent surgical evacuation compared with initial conservative treatment, according to a study published in The Lancet Neurology.
“In patients with rapid neurological deterioration because of a large acute subdural hematoma, the decision to operate in the acute phase is clear,” Thomas A. van Essen, MD, of the Leiden University Medical Centre in the Netherlands, and colleagues wrote. “Without acute surgery, high intracranial pressure will persist, and the patient will die.