The Transformation of Intracranial Subdural Hygroma to Chronic Subdural Hematoma Following Endoscopic Spinal Surgery: A Case Report

Lin, Guang‐Xun; Chen, Chien‐Min; Kim, Jin-Sung; Song, Kwan-Su

doi:10.1055/s-0041-1723812

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…The main source of hemorrhage of the CSDH is the outer membrane of the CSDH, which is fed from the dural vasculature [ 18 ]. The inner membrane of the CSDH has less vascularity due to the low reaction potential of the adjacent arachnoid membrane [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Treatment of Chronic Subdural Hematoma Combined with Inner Subdural Hygroma

Park¹,

Kim²,

Kim³

2023

J Korean Neurosurg Soc

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Objective : A chronic subdural hematoma (CSDH) is a collection of bloody fluid located in the subdural space and encapsulated by neo-membranes. An inner subdural hygroma (ISH) is observed between the inner membrane of a CSDH and the brain surface. We present six cases of CSDH combined with ISH treated via endoscopy.Methods : Between 2011 and 2022, among the 107 patients diagnosed with CSDH in our institute, six patients were identified as presenting with CSDH combined with ISH and were included in this study. Preoperative computerized tomography (CT) and magnetic resonance imaging (MRI) were performed simultaneously, and endoscopic surgery for aspiration of the hematoma was performed in all cases of CSDH combined with ISH.Results : The mean age of patients was 71 years (range, 66 to 79). The patients were all male. In two cases, the ISH was not identified on CT, but was clearly seen on MRI in all patients. The inner membrane of the CSDH was tense and bulging after draining of the CSDH in endoscopic view due to the high pressure of the ISH. After fenestration of the inner membrane of the CSDH and aspiration of the ISH, the membrane was sunken down due to the decreasing pressure of the ISH. There was one recurrence in post-operative 2-month follow up. The symptoms improved in all patients after surgery, and there were no surgery-related complications.Conclusion : CSDH combined with ISH can be diagnosed on imaging, and endoscopic surgery facilitates safe and effective treatment.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Treatment of Chronic Subdural Hematoma Combined with Inner Subdural Hygroma

Park¹,

Kim²,

Kim³

2023

J Korean Neurosurg Soc

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“…Subdural hygromas are frequently associated with spontaneous intracranial hypotension[ 18 ]. Lin et al [ 19 ] described a case of intracranial subdural hygroma after endoscopic lumbar spinal surgery. A retrospective review from 2008 to 2013 of 1113 consecutive patients who underwent spinal surgery found 4 patients (0.27%) with intracranial hygromas[ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Rare combination of traumatic subarachnoid-pleural fistula and intracranial subdural hygromas: A case report

Chen¹,

Li²,

Gan³

et al. 2023

World J Clin Cases

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The modern medical education system has gradually evolved starting from 1910 incorporating the suggestions by Abraham Flexner, his public disclosure of the poor conditions at many medical schools provided a means to galvanize all the constituencies needed for reform to occur. He could say what other reformers could not, due to their links to the medical education community. But now we are again going back to a pre-Flexnerian state due to multiple reasons such as gradually diminishing importance of basic science subjects for the students, the decline in the number and quality of investigator initiated research among clinical researchers, lesser emphasis to bedside training by means of detailed clinical examination and making appropriate observation of signs to reach to a diagnosis rather than over reliance on the laboratory tests and radiological modalities for the diagnosis, poor exposure to basic clinical skills starting from college throughout residency and the trend of disrespect and absenteeism from both theoretical and clinical/practical classes. The attitude of students is just to complete their required attendance so that they are not barred from appearing in examinations. This de-Flexnerization trend and regression to pre-Flexnerian era standards, ideologies, structures, processes, and attitudes, are bound to beget pre-Flexnerian outcomes, for you get what you designed for.

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Unilateral Laminotomy for Bilateral Decompression (ULBD) Through Biportal Endoscopy for Lumbar Spinal Stenosis

Tian

Wang

et al. 2022

Unilateral Biportal Endoscopy of the Spine

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The Transformation of Intracranial Subdural Hygroma to Chronic Subdural Hematoma Following Endoscopic Spinal Surgery: A Case Report

Cited by 3 publications

References 13 publications

Endoscopic Treatment of Chronic Subdural Hematoma Combined with Inner Subdural Hygroma

Endoscopic Treatment of Chronic Subdural Hematoma Combined with Inner Subdural Hygroma

Rare combination of traumatic subarachnoid-pleural fistula and intracranial subdural hygromas: A case report

Unilateral Laminotomy for Bilateral Decompression (ULBD) Through Biportal Endoscopy for Lumbar Spinal Stenosis

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