Endoscopic-Assisted Hematoma Evacuation Through a Small Craniotomy for Acute Subdural Hematoma Presenting With “Talk and Deteriorate”: A Case Report

Craniotomy has traditionally been the standard procedure for acute subdural hematoma (ASDH). As ASDH occurs predominantly in the elderly, its incidence is expected to increase in aging societies. In elderly patients with comorbidities, craniotomy may not always be feasible due to its invasiveness and long operative time. Endoscopic-assisted hematoma evacuation can potentially reduce operative time and surgical invasiveness. Here, we report a case treated with endoscopic-assisted hematoma evacuation and discuss its indications and technical considerations.