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The patient was discharged on postoperative day 2 and had complete resolution of his neurological symptoms by postoperative day 11. As cSDHs become more prevalent in the aging population, development of improved management strategies is imperative. This report describes the use of an IRRAflow dual-lumen catheter with a novel protocol consisting of a high rate of irrigation but net fluid output, which led to rapid recovery and resolution of neurological deficits in a patient with a cSDH. As cSDHs become more prevalent in the