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

This survey highlights substantial heterogeneity in the management of chronic subdural hematoma (CSDH) across Thailand. While burr-hole craniostomy with irrigation and drainage remains the standard surgical approach, notable variations exist in medical therapy and postoperative care. The widespread use of middle meningeal artery (MMA) embolization and other adjunctive therapies reflects evolving treatment trends. These findings emphasize the need for national, evidence-based guidelines to standardize care, reduce variability, and improve patient outcomes.