48 165

Cited 0 times in

Surgical Treatment of Subdural Hygromas in Infants and Children

Authors
Cho, JB; Cho, KH; Kim, SH; Shin, YS; Lee, W; Yoon, SH
Citation
Journal of Korean Neurosurgical Society, 38(4):273-280, 2005
Journal Title
Journal of Korean Neurosurgical Society
ISSN
2005-37111598-7876
Abstract
Objective:There is no acceptable indication and treatment of choice for infantile and child subdural hygroma and there are only a few reports about that in Korea. So the authors studied the clinical findings of infantile and child patients with subdural hygroma to improve the understanding and to suggest a standard treatment method.



Methods : The authors retrospectively evaluated the causes, preoperative symptoms, radiological thicknesses, and postoperative results of 25patients with subdural hygroma who received surgical therapy.



Results : There were 16boys and 9girls whose median age was 6months(range 2~120months). The main clinical manifestations were seizures, increased intracranial pressure, macrocrania and alteration of consciousness. Radiological thicknesses of the subdural hygroma varied from 7mm to 42mm and postoperative changes of thickness(y) could be expressed with the factor of month(x): y = -1.32 × +11.8 in subdural drainage, and y = -1.52 × +14.9 in subduroperitoneal shunts. Of the 25patients, 2 (50%) were successfully treated by aspiration, 13 (59%) by subdural drainage, and 9 (69%) by subduroperitoneal shunt.



Conclusion : It is suggested that the diagnosis and treatment of subdural hygroma in infants and children should be carefully addressed because of its high prevalence in children, and especially in infants. It is also suggested that the subdural drainage could be primary initial treatment method because it is simpler than a shunt, and since our data show that there is no statistical difference in postoperative recovery duration between the two operative methods.
Keywords
Subdural hygromaSubdural aspirationSubdural drainageSubduroperitoneal shuntSubdural hematoma
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
Full Text Link
Files in This Item:
0042005142.pdfDownload
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse