Author/Editor     Ravnik, Janez; Jugović, Domagoj; Vranič, Andrej
Title     Vstavitev subduro-peritonealne drenaže pri bolniku s ponavljajočim se obojestranskim subduralnim higromom: prikaz primera
Translated title     Insertion of the subduro-peritoneal drainage in a patient with recurrent bilateral subdural hygroma: a case report
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 76, št. 10
Publication year     2007
Volume     str. 627-32
Language     slo
Abstract     Subdural hygroma is collection of the cerebrospinal-like fluid in the subdural space. It is usually asymptomatic. Sometimes gradual increase is noted which acts tensionally and causes pressure on the brain structures. It this case surgical treatment is necessary which is usually straightforward. In the paper a case of a patient is presented where after craniocerebral injury bilateral 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 in recurrent subdural hygroma insertion of the subdurotoneal drainage is a good treatment option. Unilateral drainage could be beneficial even in bilateral hygroma.
Descriptors     SUBDURAL EFFUSION
RECURRENCE
HEAD INJURIES
SUBDURAL SPACE
TOMOGRAPHY, X-RAY COMPUTED
MIDDLE AGE