You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is Best treatment of subdural haemotoma in a deteriorating patient and explain in detail?
Subdural haematoma is the collection of blood between the dura and arachnoid. types- acute sub, subacute and chronic subdural haematoma acute-it is due to injury to coical veins and often due to laceration of coex of brain. chronic-it is due to rupture of veins causing gradual collection of bloodin sub dural space. treatment acute SDH-antibiotics ,anticonvulsants, surgical decompression is done by craniotomy (i.e; decompressive craniectomy) chronic SDH- standard craniotomy or mini craniotomy or burrhole craniostomy and evacuation of Chronic-SDH fluid is done ,antibiotics,anticonvulsants (Ref: greenberg handbook of neurosurgery, 8th ed, p-895)