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Journal of Korean Neurosurgical Society 1987;16(4): 1025-1032. |
| A Clinical Analysis of Traumatic Subdural Hygroma. |
| Jung Yul Park, Jung Keun Suh, Hoon Kap Lee, Ki Chan Lee, Jeong Wha Chu |
| Department of Neurosurgery, College of Medicine Korea University, Seoul, Korea. |
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| ABSTRACT |
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The authors report a series of 40 cases of traumatic subdural hygroma and discuss the clinical and radiological features, management, surgical results, and pathogenesis.
The "simple hygroma" accounted for majority of cases (78%) and among "complex hygroma" cases, subdural hematoma was most often accompanied. Skull fractures was found in 33% of cases. Bilateral subdural hygroma were seen in 67% and delayed onset were noted in 10 cases(25%). Changes in mental status without focal signs of neurologic deficit was noted in over 50% of cases. Although 75% of cases showed full recovery, clinical course marked by persistence of neurologic deficit was noted in 12.5% of cases. Operation was underwent in 72% and simple burr hole drainage was done in most of cases. Reaccumulation rate was relatively high (27.5%) after initial operation. The mortality rate was 12.5. |
| Key Words:
Simple hygroma; Complex hygroma; Skull Fracture; Burr hole drainage; Reaccumulation |
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