Volume 1, Issue 2 (12-2015)                   Iran J Neurosurg 2015, 1(2): 40-43 | Back to browse issues page


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Yousefzadeh-Chabok S, Hosseinpour M, Mohtasham-Amiri Z, Kazemnejad-Leili E, Alijani B. The Role of Surgical Treatment in Traumatic Subdural Hygroma: A Pilot Study. Iran J Neurosurg. 2015; 1 (2) :40-43
URL: http://irjns.org/article-1-15-en.html
Abstract:   (1914 Views)

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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Type of Study: Research | Subject: Gamma Knife Radiosurgery
* Corresponding Author Address: * Corresponding Author Address: Poursina Hospital, Guilan University of Medical Sciences, Rasht, Guilan, Iran. Tel: +981333338373, Fax: +981333338373. E-mail: drbabakalij@gmail.com

References
1. Salehpoor F, Meshkini A, Shokouhi Gh, et al. Prognostic Serum Factors in Traumatic Brain Injury: A Systematic Review. IrJNS. 2015;1(1):10-22. [DOI:10.18869/acadpub.irjns.1.1.10]
2. Herold TJ, Taylor S, Abbrescia K, et al. Post-traumaticsubduralhygroma: case report. J Emerg Med. 2004; 27(4):361-366. [DOI:10.1016/j.jemermed.2004.03.018] [PMID]
3. KS Lee. The pathogenesis and clinical significance of traumatic subdural hygroma. Brain Inj. 1998; 12(7) : 595-603. [DOI:10.1080/026990598122359] [PMID]
4. Jeon SW, Choi JH, Jang TW, et al. Risk factors associated with subdural hygroma after decompressivecraniectomy in patients with traumatic brain injury: A comparative study. J Korean neurosurg Soc. 2011;49(6):335-338. [DOI:10.3340/jkns.2011.49.6.355] [PMID] [PMCID]
5. Sohn IT, Lee KS, Doh JW, et al. A Prospective Study on the Incidence, Patterns and Premorbid Conditions of Traumatic Subdural Hygroma. J Korean Neurosurg Soc. 1997; 26(1):87-93.
6. Liu Y, Gong J, Li F, et al. Traumatic subdural hydroma: clinical characteristics and classification. Injury. 2009; 40(9):968-972. [DOI:10.1016/j.injury.2009.01.006] [PMID]
7. Liu YG, Jia T, Liu M, et al. Type and its clinical characteristics of traumatic subdural hydroma. ZhonghuaWaiKeZaZhi. 2003; 41(10):763-765.
8. French BN, Cobb CA 3rd, Corkill G, et al. Delayed evolution of posttraumatic subdural hygroma. Surg Neurol. 1978; 9(3):145-148. [PMID]
9. Lee KS, Bae WK, Bae HG, et al. The fate of traumatic subdural hygroma in serial computed tomographic scans. J Korean Med Sci.2000 ;15(5):560-568. [DOI:10.3346/jkms.2000.15.5.560] [PMID] [PMCID]
10. Feng JF, Jiang JY, Bao YH, et a. Traumatic subdural effusion evolves into chronic subdural hematoma: Two stages of the same inflammatory reaction?. Med Hypotheses. 2008;7(6):1147-1149. [DOI:10.1016/j.mehy.2007.11.014] [PMID]
11. Park SH, Lee SH, Park J, et al. Chronic subdural hematoma preceded by traumatic subdural hygroma. J ClinNeurosci. 2008;15(8):868-872. [DOI:10.1016/j.jocn.2007.08.003]
12. Zanini MA, Resende LA, Freitas CC, et al. Traumatic subdural hygroma: five cases with changed density and spontaneous resolution. ArqNeuropsiquiatr. 2007;65(1):68-72. [DOI:10.1590/S0004-282X2007000100015]
13. Kentaro Mori, Minoru Maeda. Delayed magnetic resonance imaging with Gd-DTPA differentiates subdural hygroma and subdural effusion. Surgical Neurology. 2000;53(4):303-311. [DOI:10.1016/S0090-3019(00)00199-3]
14. Paiva WS, Oliveira AM, de Andrade AF, et al. Remotepostoperativeepiduralhematomaaftersubduralhygromadrainage. Case Rep Med. 2010; doi: 10.1155/2010/417895. [DOI:10.1155/2010/417895]
15. Wang HK, Lu K, Liang CL, et al. Contralateralsubduraleffusionrelated to decompressivecraniectomyperformed in patients with severetraumatic brain injury. Injury. 2012; 43(5):594-597. [DOI:10.1016/j.injury.2010.06.004] [PMID]
16. Caldarelli M, Di Rocco C, Romani R. Surgical treatment of chronicsubduralhygromas in infants and children. ActaNeurochir (Wien). 2002; 144(6):581-588. [DOI:10.1007/s00701-002-0947-0] [PMID]
17. Coşar M, Eser O, Aslan A, et al. Rapid resolution of acute subdural hematoma and effects on the size of existent subdural hygroma: a case report. Turk Neurosurg.2007;17(3):224-227. [PMID]
18. Danil A. Posttraumatic extracerebral fluid collections. Romanian Neurosurgery. 2013; 20(2):139–148. [DOI:10.2478/romneu-2013-0002]
19. Ishibashi A, Yokokura Y, Miyagi J. Clinical analysis of nineteen patients with traumatic subdural hygromas. Kurume Med J. 1994; 41(2):81-85. [DOI:10.2739/kurumemedj.41.81] [PMID]
20. Tsuang FY, Huang AP, Tsai YH, et al. Treatment of patients with traumatic subdural effusion and concomitant hydrocephalus. J Neurosurg.2012 ;116(3):558-565. [DOI:10.3171/2011.10.JNS11711] [PMID]
21. Zanini MA, de Lima Resende LA, de Souza Faleiros AT, etal.Traumatic subdural hygromas: proposed pathogenesis based classification. J Trauma.2008 ;64(3):705-713. [DOI:10.1097/TA.0b013e3180485cfc] [PMID]
22. Lang JK, Ludwig HC, Mursch K, et al. Elevated cerebral perfusion pressure and low colloid osmotic pressure as a risk factor for subdural space-occupying hygromas?. Surg Neurol. 1999; 52(6):630-637. [DOI:10.1016/S0090-3019(99)00144-5]
23. Kim SJ, Rhee BA, Lee YK. Clinical evaluation of the traumatic subdural hygroma. J Korean Neurosurg Soc. 1979; 8(2):255-260.

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