Open AccessSafe use of tissue plasminogen activator in conjunction with the integra camino bolt for the drainage of chronic subdural hematoma
Author(s) -
Ninh Doan,
Mohit Patel,
Ha Son Nguyen,
H T Doan,
Andrew Montoure,
Saman Shabani,
Michael Gelsomino,
Karl Janich
Publication year - 2018
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 1793-5482
DOI - 10.4103/ajns.ajns_230_16
Subject(s) - medicine , chronic subdural hematoma , hematoma , surgery , tissue plasminogen activator , urokinase , plasminogen activator , drainage , ecology , biology
Chronic subdural hematoma (CSDH) is a relatively common condition encountered in a neurosurgical practice. There have been increased efforts in creating different treatment regimens for CSDH to improve patients' outcomes, including the addition of tissue plasminogen activator (tPA) in drains to reduce recurrences. Here, we present the first case report of the safe use of tPA in conjunction with an Integra Camino bolt for maximized drainage of CSDH with a successful neurological recovery and the complete resolution of the hematoma.