Skull reconstruction with titanium mesh following burr hole craniotomy for chronic subdural hematoma

Abstract

This case report describes a 58-year-old male who presented with severe headache two months after head trauma, with imaging confirming a left-sided chronic subdural hematoma (cSDH). He underwent Burr hole craniotomy for hematoma evacuation, followed by skull reconstruction using a titanium mesh implant. Postoperative recovery was smooth, with no neurological symptoms or complications, and follow-up imaging showed no residual hematoma. Titanium mesh allowed for effective skull reconstruction, eliminating risks of cosmetic deformities like scalp depression and potentially reducing infection and other post-surgical complications. Our findings highlight titanium mesh as a valuable option in neurosurgery for cSDH, providing both functional and cosmetic benefits. While complications with titanium implants have been noted in some cases, our patient’s recovery was uneventful. This case highlights titanium mesh’s use and supports further exploration of materials to enhance outcomes in surgical management of cSDH.