Case Report: Stepwise quantitative assessment of intraoperative intracranial pressure after perforation, craniotomy, dural incision, and hematoma removal in acute subdural hematoma - Takeaways - MDSpire

Case Report: Stepwise quantitative assessment of intraoperative intracranial pressure after perforation, craniotomy, dural incision, and hematoma removal in acute subdural hematoma

  • By

  • Sota Wakahara

  • Ryota Tamura

  • Takahiro Iinuma

  • Konosuke Ishikawa

  • Kosuke Karatsu

  • Ryo Yamamoto

  • Yukio Sato

  • Junichi Sasaki

  • Masahiro Toda

  • June 23, 2026

  • 0 min

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  • 1

    Severe traumatic brain injury often requires urgent surgical procedures like craniotomy to alleviate elevated intracranial pressure.

  • 2

    A case study documented a male patient with bilateral acute subdural hematomas and elevated ICP, necessitating emergent decompressive craniectomy.

  • 3

    Intracranial pressure was measured at each surgical phase, showing reductions from 42 mmHg during burr hole placement to 9 mmHg after hematoma evacuation.

  • 4

    Despite surgical intervention and intensive management, the patient deteriorated and passed away on hospital day 21.

  • 5

    The study highlights the importance of timely surgical intervention in managing acute subdural hematomas to reduce intracranial pressure.

Original Source(s)

Case Report: Stepwise quantitative assessment of intraoperative intracranial pressure after perforation, craniotomy, dural incision, and hematoma removal in acute subdural hematoma

  • by Sota Wakahara, Ryota Tamura, Takahiro Iinuma, Konosuke Ishikawa, Kosuke Karatsu, Ryo Yamamoto, Yukio Sato, Junichi Sasaki, Masahiro Toda

  • June 23, 2026

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