Acute contralateral subdural hygroma following craniectomy.

Abstract

We report a case of acute contralateral subdural hygroma (SDG) following decompressive craniectomy and discuss the potential aetiologies of the SDG. A 63-year-old man experienced drowsiness (Glasgow coma scale score 13) after a fall that resulted in head trauma. Brain CT revealed a subdural haematoma at the right fronto-temporo-parietal region with a midline shift to the left. Craniectomy for evacuation of the subdural haematoma was performed immediately. A delayed intracerebral haematoma with mass effect in the right frontotemporal region developed later, and was removed in a second operation. Although the patient's neurological status improved postoperatively, gradual deterioration was observed during the follow-up period. Contralateral SDG with a midline shift to the right was noted in a follow-up brain CT scan. The patient's condition improved after drainage of the SDG and he was discharged 1 week later.

• Authors: Feng-Wen Su, Jih-Tsun Ho, Hung-Chen Wang
• Journal: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia (J Clin Neurosci) Vol. 15 Issue 3 Pg. 305-7 (Mar 2008) ISSN: 0967-5868 [Print] Scotland
• PMID: 18182295 (Publication Type: Case Reports, Journal Article)

Topics

• Acute Disease
• Craniotomy (adverse effects)
• Decompression, Surgical (adverse effects)
• Hematoma, Subdural (surgery)
• Humans
• Male
• Middle Aged
• Subdural Effusion (etiology)
• Tomography, X-Ray Computed (methods)