{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:49:41Z","timestamp":1782863381989,"version":"3.54.5"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003We describe, step by step, a modified, less invasive, diamond-shaped mini-craniotomy that optimizes dural opening and can be performed in elderly patients affected by acute subdural or intracerebral hematomas, in therapy with antiplatelets or anticoagulants.<\/jats:p><jats:p>\n          Methods\u2003We retrospectively analyzed the clinical records of 67 patients (mean age of 78.5 years) treated in our institution, during a period of 10 years, with this novel diamond-shaped craniotomy. Seventeen patients were treated for intracerebral hemorrhage and 50 patients for acute subdural hematomas. All the patients were in therapy with antiplatelets or anticoagulants.<\/jats:p><jats:p>\n          Results\u2003Approach-related complications were not detected. Ten of 67 patients (14.9%) presented temporal muscle atrophy; there was no scar deformity, paresthesia, hyperalgesia, or ramus frontalis palsy around the scalp incision. Thirty-day mortality was 22%. The mean follow-up was 1.3 years. One-month postoperative brain computed tomography scans showed a satisfactory hematoma evacuation in 57 of 67 patients (85%).<\/jats:p><jats:p>\n          Conclusions\u2003The diamond-shaped mini-craniotomy for acute subdural and intracerebral hematomas is safe and effective, and it should be considered as an alternative to traditional approaches, particularly in elderly patients.<\/jats:p>","DOI":"10.1055\/s-0041-1730942","type":"journal-article","created":{"date-parts":[[2021,8,3]],"date-time":"2021-08-03T22:51:56Z","timestamp":1628031116000},"page":"236-241","source":"Crossref","is-referenced-by-count":3,"title":["Diamond-Shaped Mini-Craniotomy: A New Concept in Neurosurgery"],"prefix":"10.1055","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1573-431X","authenticated-orcid":false,"given":"Giuseppe Emmanuele","family":"Umana","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Cannizzaro Hospital, Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9465-2506","authenticated-orcid":false,"given":"Gianluca","family":"Scalia","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Specialist Hospital Garibaldi, Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Fricia","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Cannizzaro Hospital, Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni Federico","family":"Nicoletti","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Specialist Hospital Garibaldi, Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Domenico Gerardo","family":"Iacopino","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Universita degli Studi di Palermo, Palermo, Sicilia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosario","family":"Maugeri","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Universita degli Studi di Palermo, Palermo, Sicilia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santino Ottavio","family":"Tomasi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Paracelsus Medical Private University, Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Cicero","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Cannizzaro Hospital, Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Alberio","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Cannizzaro Hospital, Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,8,3]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1136\/neurintsurg-2017-013091","article-title":"A review and comparison of three neuronavigation systems for minimally invasive intracerebral hemorrhage evacuation","volume":"10","author":"A G Chartrain","year":"2018","journal-title":"J Neurointerv Surg"},{"issue":"03","key":"ref2","first-page":"177","article-title":"Postoperative course after acute traumatic subdural hematoma in the elderly. 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