Acta Neurochirurgica

, Volume 157, Issue 3, pp 497–499 | Cite as

Burr hole is not burr hole: technical considerations to the evacuation of chronic subdural hematomas

  • Stephan EmichEmail author
  • Manfred Dollenz
  • Peter A. Winkler
How I Do it - Trauma



The organization of a multicenter survey about chronic subdural hematomas has triggered the discussion on different surgical techniques of burr hole evacuation. Such a standard operation gives neurosurgeons plenty of scope for creating their own way.


The procedure presented is one burr hole with a closed drainage system. In detail, each single step is enrolled: the planning of the burr hole, positioning, direction of skin incision, opening of the dura, drain positioning, channeling through the galea, and postoperative care.


We present a thorough summary that could serve as a common standard and as a basis for comparison of future trials.


Chronic Subdural hematoma Burr hole Technique 


Conflict of interest


Supplementary material


This video shows the surgery for the evacuation of a chronic subdural hematoma. By performing one burr hole with a closed drainage system, a standardized procedure is proposed. Each single step highlighted in the article is presented. (MPG 23158 kb)


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Copyright information

© Springer-Verlag Wien 2015

Authors and Affiliations

  • Stephan Emich
    • 1
    Email author
  • Manfred Dollenz
    • 1
  • Peter A. Winkler
    • 1
  1. 1.Department of Neurosurgery, Christian Doppler KlinikParacelsus Medical UniversitySalzburgAustria

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