Arab Board Neurosurgery Final Clinical & Oral Practice Questions - Arab Board Of Health Specializations (ABHS) Neurosurgery Final Clinical And Oral Examination Exam

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An 82-year-old male presents with a 3-week history of progressive confusion, right-sided pronator drift, and gait ataxia. Brain CT shows a large hypodense crescentic extra-axial collection overlying the left frontoparietal cortex measuring 22 mm in depth with 8 mm of midline shift. What is the surgical procedure of choice with the best balance of low recurrence and minimal morbidity?

Single or double burr hole craniostomy with closed-system subdural drain placement Wide osteoplastic craniotomy with radical membranectomy under general anesthesia Percutaneous needle aspiration at the bedside without continuous drainage Immediate middle meningeal artery embolization as monotherapy without drainage

Correct Answer:

Single or double burr hole craniostomy with closed-system subdural drain placement

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