The role of craniotomy and trephination in the treatment of chronic subdural hematoma

The treatment of chronic subdural hematoma by craniotomy was the procedure of choice in the early part of this century. It has since been replaced by less invasive techniques but retains a Limited role in the management of th is condition. A new procedure involving a small craniectomy and marsupializ ation of the hematoma cavity to the temporalis muscle is described. The res ults of this treatment compare favorably with the more commonly performed d rainage methods.