September 5, 2025Frontiers in NeurologyOpen Access

Chronic subdural hematoma management in Thailand: a nationwide survey of clinical practice and trends

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Discussion

Nationwide survey uncovers variation in surgical techniques and postoperative care for chronic subdural hematoma, suggesting new treatment trends.

The survey identified a significant variation in the management practices for chronic subdural hematoma across Thailand.
Burr-hole craniostomy remains the preferred surgical method among 73.6% of neurosurgeons, with effective irrigation used by 96.2%.
Many surgeons reported practices such as middle meningeal artery embolization (45.3%) that reflect evolving treatment trends.
Postoperative care varied widely, indicating a need for standardized, evidence-based guidelines to improve patient outcomes.

Praphanuwat et al. (2025) studied this question.

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Nationwide survey uncovers variation in surgical techniques and postoperative care for chronic subdural hematoma, suggesting new treatment trends.