# Endoscopic-Assisted Hematoma Evacuation Through a Small Craniotomy for Acute Subdural Hematoma Presenting With “Talk and Deteriorate”: A Case Report

## TL;DR

This case report describes using an endoscope to remove a brain hematoma through a small craniotomy, offering a less invasive option for elderly patients.

## Contribution

The paper presents a novel endoscopic-assisted technique for hematoma evacuation in acute subdural hematoma.

## Key findings

- Endoscopic-assisted hematoma evacuation reduced operative time and invasiveness.
- The technique was successfully applied in a patient with acute subdural hematoma.
- The approach may be particularly suitable for elderly patients with comorbidities.

## Abstract

Craniotomy has traditionally been the standard procedure for acute subdural hematoma (ASDH). As ASDH occurs predominantly in the elderly, its incidence is expected to increase in aging societies. In elderly patients with comorbidities, craniotomy may not always be feasible due to its invasiveness and long operative time. Endoscopic-assisted hematoma evacuation can potentially reduce operative time and surgical invasiveness. Here, we report a case treated with endoscopic-assisted hematoma evacuation and discuss its indications and technical considerations.