Simultaneous Cranioplasty and Subdural-Peritoneal Shunting for Contralateral Symptomatic Subdural Hygroma following Decompressive Craniectomy
Joint Authors
Chen, Shuo-Tsung
Kung, Woon-Man
Chen, Tzu-Hsuan
Peng, Tsung-I
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-23
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
Background.
Contralateral subdural hygroma caused by decompressive craniectomy tends to combine with external cerebral herniation, causing neurological deficits.
Material and Methods.
Nine patients who underwent one-stage, simultaneous cranioplasty and contralateral subdural-peritoneal shunting were included in this study.
Clinical outcome was assessed by Glasgow Outcome Scale as well as Glasgow Coma Scale, muscle power scoring system, and complications.
Results.
Postoperative computed tomography scans demonstrated completely resolved subdural hygroma and reversed midline shifts, indicating excellent outcome.
Among these 9 patients, 4 patients (44%) had improved GOS following the proposed surgery.
Four out of 4 patients with lethargy became alert and orientated following surgical intervention.
Muscle strength improved significantly 5 months after surgery in 7 out of 7 patients with weakness.
Two out of 9 patients presented with drowsiness due to hydrocephalus at an average time of 65 days after surgery.
Double gradient shunting is useful to eliminate the respective hydrocephalus and contralateral subdural hygroma.
Conclusion.
The described surgical technique is effective in treating symptomatic contralateral subdural hygroma following decompressive craniectomy and is associated with an excellent structural and functional outcome.
However, subdural-peritoneal shunting plus cranioplasty thoroughly resolves the subdural hygroma collection, which might deteriorate the cerebrospinal fluid circulation, leading to hydrocephalus.
American Psychological Association (APA)
Peng, Tsung-I& Chen, Tzu-Hsuan& Kung, Woon-Man& Chen, Shuo-Tsung. 2015. Simultaneous Cranioplasty and Subdural-Peritoneal Shunting for Contralateral Symptomatic Subdural Hygroma following Decompressive Craniectomy. The Scientific World Journal،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1078858
Modern Language Association (MLA)
Peng, Tsung-I…[et al.]. Simultaneous Cranioplasty and Subdural-Peritoneal Shunting for Contralateral Symptomatic Subdural Hygroma following Decompressive Craniectomy. The Scientific World Journal No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1078858
American Medical Association (AMA)
Peng, Tsung-I& Chen, Tzu-Hsuan& Kung, Woon-Man& Chen, Shuo-Tsung. Simultaneous Cranioplasty and Subdural-Peritoneal Shunting for Contralateral Symptomatic Subdural Hygroma following Decompressive Craniectomy. The Scientific World Journal. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1078858
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1078858