2016, Number 5
<< Back Next >>
Rev Clin Esc Med 2016; 6 (5)
CASO 2016: Higroma subdural contralateral tras craniectomía descompresiva
Picado LLN, Ledezma AO, Padilla CJI, Ramírez OP
Language: Spanish
References: 10
Page: 1-5
PDF size: 601.39 Kb.
ABSTRACT
Subdural hygroma is a collection of cerebrospinal fluid in the subdural space after head injury; HSD can develop sometimes after descompressive craniectomy and can be ipsilateral or contralateral. Its appearance can be due to several fisiopathologic mechanisms such as loss of normal pulsatility of the cerebrospinal fluid after discontinuity of the skull. Some collections need evacuation, but cranioplasty is the definite solution. We present the case of a patient with severe head injury who developed a contralateral HSD and cranioplasty was the definite solution.
REFERENCES
Yuan Q Wu X Yu J et al. Subdural hygroma following descompressive craniectomy or non-descompressive craniectomy in patients with traumatic brain injury: Clinical features and risk factors. Brain Inj. 2015;29 (7-8): 971-980.
Bruns J Jr, Hauser WA. The epidemiology of traumatic brain injury: a review. Epilepsia. 2003;44 Suppl 10:2-10
Hutchinson PJ, Kolias AG, Timofeev IS, Corteen EA, Czosnyka M, et al. RESCUEicp Trial Collaborators. Trial of Decompressive Craniectomy for Traumatic Intracranial Hy-pertension. N Engl J Med. 2016 Sep 22;375(12):1119-1130.
Paredes I Cicuendez M Delgado M et al. Nor-mal pressure subdural hygroma with mass ef-fect as a complication of descompressive cra-niectomy. Surg Neurol Int 2011; 2:88.
Margules A Jallo J. Complications of Descompressive Craniectomy. 2010. JHN Journal: Vol. 5: 9-12.
Jong Ki H Hyung-Jin L Hong-Jae L et al. The Risk Factors for Hydrocephalus and Subdu-ral Hygroma after Descompressive Craniec-tomy in Head Injured Patients. J Korean Neu-rosurg Soc. 2015;58(3):251-261.
Lin M Chen T Kung W et al. Simultaneous Cranioplasty and Subdural-Peritoneal Shunting for Contralateral Symptomatic Sub-dural Hygroma following Descompressive Craniectomy. The Scientifics World Journal. Volumen 2015. Article ID 518494, 6 pages.
Jeon SW Choi JH Jang TW et al. Risk factors associated with subdural hygroma after descompressive craniectomy in patients with traumatic brain injury: a comparative study. J Korean Neurosurg Soc. 2011;49(6):355-358.
Waziri A Fusco D Mayer Sa et al. Postoper-ative hydrocephalus in patients undergoing descompressive hemicraniectomy for is-chemic or hemorrhagic stroke. Neurosurgery. 2007;61 (3):489-493.
Zanini MA de Lima R de Souza F et al. Trau-matic subdural hygromas: proposed patho-genesis based classification. J Trauma. 2008;64(3):705-713.