Volume 2, Issue 4 ( 2017)                   Iran J Neurosurg 2017, 2(4): 15-17 | Back to browse issues page


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Yousefzadeh-Chabok S, Babaei Jandaghi A, Kazemnejad-Leili E, Kouchakinejad-Eramsadati L, Hosseinpour M. Subdural Hygroma in Head Trauma Patients Admitted to a Hospital in Northern Iran. Iran J Neurosurg. 2017; 2 (4) :15-17
URL: http://irjns.org/article-1-78-en.html
1- Neuroscience Research Center, Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
2- Guilan Road Trauma Research Center, Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
3- Neuroscience Research Center, Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran , bak-sou@hotmail.com
Abstract:   (2733 Views)

Background & Aim: Post-traumatic subdural hygroma can be associated with subdural or epidural hematoma. It is usually silent with mild symptoms and often disappears spontaneously needing no treatment. In this study, we investigated the clinical characteristics of subdural hygroma in patients with traumatic brain injury.
Methods & Materials/Patients: In a cross-sectional study, data of 3244 patients with head injury admitted to Poursina hospital were collected through a questionnaire which included variables of age, sex, GCS on admission, mechanism of trauma, accompanying cranial injuries and treatments, unilateral/bilateral hygroma, and size, volume, and location of hygroma. Finally, the data were analyzed using SPSS (version 19) and descriptive statistics.
Results: In this study, 81.8% of patients were men and 18.2% women with mean age of 60.91±26.07 years old. Accident was the most common cause (63.6%) and the severity of head injury was mild in majority of patients (63.6%) according to GCS. The average time of diagnosis was 10.4 days after the head injury was located in frontal (36.4%) and fronto-parietal (36.4%) areas in most patients. Most of the accompanying cranial injuries were brain contusion (36.4%) and subarachnoid hemorrhage (27.3%). The majority of patients (81.8%) underwent conservative treatment and showed a favorable outcome (63.6%).
Conclusion: Most of the times, subdural hygroma is observed in older people and disappears over time with vanishing clinical symptoms. Most cases have to undergo conservative treatment.

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Type of Study: Research | Subject: Gamma Knife Radiosurgery

References
1. Ortiz-Prado E, Castillo TA, Lopez MO, Rubio MA, Bermeo LE. Post-Traumatic Subdural Hygroma: A One Year Follow up Case Report and Literature Review. Glob J Health Sci. 2016;8(12):239. [DOI:10.5539/gjhs.v8n12p239]
2. Patil AA, Bell B, Yamaguchi L. Drainage and Cranioplasty as a Treatment for Traumatic Subdural Hygroma Secondary to Decompressive Craniectomy. OJMN. 2016;6(01):41. [DOI:10.4236/ojmn.2016.61008]
3. Yang X, Shen L, Lin QS, Li R, Quanmin N, Yongming Q. A Hypothesis of Traumatic Subdural Effusion Associated With Communicating Hydrocephalus in Infants and Its Management. J Craniofac Surg. 2015;26(2):435-7. [DOI:10.1097/SCS.0000000000001329] [PMID]
4. Lee KS, Bae WK, Bae HG, Yun IG. The fate of traumatic subdural hygroma in serial computed tomographic scans. J Korean Med Sci. 2000;15(5):560-8. [DOI:10.3346/jkms.2000.15.5.560] [PMID] [PMCID]
5. Lee K. The pathogenesis and clinical significance of traumatic subdural hygroma. Brain Inj. 1998;12(7):595-603. [DOI:10.1080/026990598122359] [PMID]
6. Jeon SW, Choi JH, Jang TW, Moon S-M, Hwang H-S, Jeong JH. Risk factors associated with subdural hygroma after decompressive craniectomy in patients with traumatic brain injury: a comparative study. J Korean Neurosurg Soc. 2011;49(6):355-8. [DOI:10.3340/jkns.2011.49.6.355] [PMID] [PMCID]
7. Herold TJ, Taylor S, Abbrescia K, Hunter C. Post-traumatic subdural hygroma: case report. J. Emerg. Med. 2004;27(4):361-6. [DOI:10.1016/j.jemermed.2004.03.018] [PMID]
8. Danil A. Posttraumatic extracerebral fluid collections. Rom. Neurosurg. 2013;20(2):139-48. [DOI:10.2478/romneu-2013-0002]
9. Coşar M, Eser O, Aslan A, Ela Y. Rapid resolution of acute subdural hematoma and effects on the size of existent subdural hygroma: a case report. Turk Neurosurg. 2007;17(3):224-7. [PMID]
10. Tsuang F-Y, Huang AP-H, Tsai Y-H, Chen J-Y, Lee J-E, Tu Y-K, et al. Treatment of patients with traumatic subdural effusion and concomitant hydrocephalus: Clinical article. J Neurosurg. 2012;116(3):558-65. [DOI:10.3171/2011.10.JNS11711] [PMID]
11. 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. IrJNS. 2015;1(2):40-3. [DOI:10.18869/acadpub.irjns.1.2.40]
12. Liu Y, Gong J, Li F, Wang H, Zhu S, Wu C. Traumatic subdural hydroma: clinical characteristics and classification. Injury. 2009;40(9):968-72. [DOI:10.1016/j.injury.2009.01.006] [PMID]
13. Zanini MA, Resende LAdL, Freitas CCMd, Yamashita S. Traumatic subdural hygroma: five cases with changed density and spontaneous resolution. Arq. Neuro-Psiquiatr. 2007;65(1):68-72. [DOI:10.1590/S0004-282X2007000100015] [PMID]
14. Kim BO, Kim SW, Lee SM. Effectiveness of early surgery in children with traumatic subdural hygroma. J Korean Neurosurg Soc. 2005;37(6):432-5.
15. Zanini MA, de Lima Resende LA, de Souza Faleiros AT, Gabarra RC. Traumatic subdural hygromas: proposed pathogenesis based classification. Journal of Trauma and Acute Care Surgery. 2008;64(3):705-13. [DOI:10.1097/TA.0b013e3180485cfc] [PMID]

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