Vstavitev subduro-peritonealne drenaže pri bolniku s ponavljajočim se obojestranskim subduralnim higromom : prikaz primera
Insertion of the subduro-peritoneal drainage in a patient with recurrent bilateral subdural hygroma : a case report

slovenian

2007

volume 76, issue 10

Complications   Head Injuries   Middle Age   neurology   Recurrence   Subdural Effusion   Subdural Space   therapy   Tomography, X-Ray Computed

Slovensko zdravniško društvo
(Obvezni izvod spletne publikacije)

Subdural hygroma is collection of the cerebrospinal-like fluid in the subduralspace. It is usually asymptomatic. Sometimes gradual increase is notedwhich acts tensionally and causes pressure on the brain structures. It this case surgical treatment is necessary which is usually straightforward. Inthe paper a case of a patient is presented where after craniocerebral injurybilateral symptomatic subdural hygroma developed. He was first treated with insertion of bilateral subdural drainage and then with repeated subdural taps. After both therapeutic measures the hygroma always recurred with worsening of the clinical condition. For permanent resolution of the hygroma an insertion of the subduro peritoneal drainage was needed. After this operation the patientfully recovered. Two months after the operation he is without problems and the hygroma did not recur This case report proves that inrecurrent subdural hygroma insertion of the subdurotoneal drainage is a goodtreatment option. Unilateral drainage could be beneficial even in bilateral hygroma.

16.09.2009