Posttraumatic extracerebral fluid collections

Adam, D.

doi:10.2478/romneu-2013-0002

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…For different authors, subdural hygroma is more prevalent in older patients with some degree of cerebral atrophy [14] [15].…”

Section: Discussionmentioning

confidence: 99%

Subdural Hygroma: Different Treatment Modalities and Clinical Outcome

Almenzalawy¹,

Essa²,

Ragab³

2019

OJMN

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Background: Subdural hygroma (SDHy) is a collection of cerebrospinal fluid (CSF) under the dural membrane. It is usually asymptomatic but may alter consciousness. Management is still a matter of controversy (conservative Vssurgical) especially when consciousness is a concern. Aim: To assess the different treatment modalities of SDHy regarding the patients' characteristics and clinical outcome, finding out the significant differences and the future recommendations. Patients and Methods: In this prospective one-year clinical case study, thirty patients were included. Patients' sociodemographic and clinical characteristics were analyzed. Fifteen patients were managed conservatively whereas the rest were managed surgically. Outcome was correlated with the patients' characteristics. Results: Twenty four men (80%) and 6 women (20%). Mean age = 25.2 years old. Hygroma was unilateral in 63.3% and fronto-parietal in 60% of patients. The most frequent concomitant injuries were brain contusions (50%) and subarachnoid hemorrhage (33.3%), respectively. The conservative group was treated symptomatically. The surgical group had burr hole evacuation (12 patients) and subdural peritoneal shunt (3 patients). No statistical significance in outcome in either group, but surgical group showed better outcome (73.3%) than conservative group (53.3%). Younger patients have good outcome (65%) compared to (55.3%) in old patients. Patients with severe GCS showed poor outcome (8/8 patients, 100%), whereas mild and moderate GCS patients showed good outcome (19/22 patients, 86%). Conclusion: SDHy though is a benign lesion its management is a matter of controversy. The decision of surgery is affected by GCS and neurological deterioration. Generally, the surgical option is more favorable but the conservative option should be the role as far as there is no concern on consciousness.

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“…For different authors, subdural hygroma is more prevalent in older patients with some degree of cerebral atrophy [14] [15].…”

Section: Discussionmentioning

confidence: 99%

Subdural Hygroma: Different Treatment Modalities and Clinical Outcome

Almenzalawy¹,

Essa²,

Ragab³

2019

OJMN

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“…Therefore, present work considered patients who underwent surgery due to subdural hygroma. Studies have revealed that subdural hygroma is mainly noted in old patients (17,18,19,20).…”

Section: Disscussionmentioning

confidence: 99%

The Role of Surgical Treatment in Traumatic Subdural Hygroma: A Pilot Study

Yousefzadeh-Chabok

Hosseinpour

Mohtasham-Amiri

et al. 2015

IrJNS

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Background and Aim: Traumatic subdural hygroma is the accumulation of CSF (cerebrospinal fluid) in subdural space following head trauma. The mass effect of hygroma on brain can impinge on consciousness. There are still many ambiguities on indications of hygroma surgery. This is an 11-year follow-up study which involves the patients suffering traumatic subdural hygroma who underwent surgery. Methods & Materials/Patients: In this retrospective study, clinical records of 16 patients who were operated due to traumatic subdural hygroma were studied. The data from existing records in the hospital were collected and analyzed. They were then analyzed by Repeated Measures ANOVA using SPSS (Version 18). The differences were considered statistically significant at P≤0.05. Results: In this study, there were 13 men (81.3%) and 3 women (18.7%) (Mean age=62 years old). In 87.75% of patients, hygroma was diagnosed 6 days after head injury. It wasunilateral in majority of patients (56.3%) and located in fronto-parietal area (81.3%). The most frequent concomitant injuries were contusions (25%) and subarachnoid hemorrhage (18.8%), respectively. GCS trend on admission and at discharge was significantly different fromthat of hygroma formation (P<0.05). One-fourth of patients had recurrence of hygroma after surgery. All patients (except one) had good outcome. Conclusion: Subdural hygroma is a delayed lesion and surgical treatment improves the level of consciousness (LOC) in afflicted patients.

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