Li RC, Guo SW, Liang C. Modified surgical method of supra- and infratentorial epidural hematoma and the related anatomical study of the squamous part of the occipital bone. World J Clin Cases 2022; 10(2): 477-484 [PMID: 35097072 DOI: 10.12998/wjcc.v10.i2.477]
Corresponding Author of This Article
Chen Liang, MD, Doctor, Department of Neurosurgery, The First Affiliated Hospital of Xi’an Jiaotong University, No. 277 West Yanta Road, Xi’an 710061, Shaanxi Province, China. liangchen01@xjtu.edu.cn
Research Domain of This Article
Neurosciences
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 14, 2022; 10(2): 477-484 Published online Jan 14, 2022. doi: 10.12998/wjcc.v10.i2.477
Modified surgical method of supra- and infratentorial epidural hematoma and the related anatomical study of the squamous part of the occipital bone
Rui-Chun Li, Shi-Wen Guo, Chen Liang
Rui-Chun Li, Shi-Wen Guo, Chen Liang, Department of Neurosurgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, Shaanxi Province, China
Author contributions: Liang C conceived and designed the study; Data collection and analysis were performed by Li RC, Guo SW and Liang C; The first draft of the manuscript was written by Li R, and all the authors commented on previous versions of the manuscript; all the authors read and approved the final manuscript.
Supported byKey Research and Development Plan of Shaanxi Province, China, No. 2021SF-298, and No. 2018SF-137.
Institutional review board statement: This study was approved by the Ethics Committee of the First Affiliated Hospital of Xi'an Jiaotong University (KYLLSL-2014-129-01).
Informed consent statement: This study is a retrospective study, and the patient is anonymous, so the patient's informed consent is not necessary.
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: All data generated or analyzed during this study are included in this published article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chen Liang, MD, Doctor, Department of Neurosurgery, The First Affiliated Hospital of Xi’an Jiaotong University, No. 277 West Yanta Road, Xi’an 710061, Shaanxi Province, China. liangchen01@xjtu.edu.cn
Received: July 21, 2021 Peer-review started: July 21, 2021 First decision: October 16, 2021 Revised: October 22, 2021 Accepted: December 10, 2021 Article in press: December 10, 2021 Published online: January 14, 2022 Processing time: 175 Days and 1.6 Hours
ARTICLE HIGHLIGHTS
Research background
Traditional surgical treatment of the supra- and infratentorial acute epidural hematoma (SIEDH) requires a combined supra-infratentorial craniotomy.
Research motivation
To modify the surgery method according to the results of anatomical research.
Research objectives
To analyze the morphological characteristics of the squamous part of the occipital bone (SOB) and introduce a single supratentorial craniotomy for SIEDH.
Research methods
Skull computed tomography scan data from 32 adult patients were collected. The angle of the SOB (ASOB) and the operative angle for the SIEDH (OAS) were measured and analyzed.
Research results
For males, the ASOB was 118.4 ± 4.7 and the OAS was 15.1 ± 1.8; for females, the ASOB was 130.4 ± 5.1 and the OAS was 12.8 ± 2.0. The smaller the ASOB was, the larger the OAS was. Based on the anatomical study, a single supratentorial craniotomy was performed in 8 patients with SIEDH, and the SIEDH was completely removed.
Research conclusions
The single supratentorial craniotomy for SIEDH is reliable and effective.
Research perspectives
It is hoped that the results of this study can improve the efficiency of surgical treatment of SIEDH.
