[Traumatic subdural hygromas (author's transl)].
Out of a group of 97 patients with intracranial haematomas, 12 were found to have a traumatic subdural hygroma. In four patients a small fluid effusion was demonstrated by CT scan just after the head injury. In the majority of cases the CT scan demonstrated a significant increase of volume and pressure of the subdural effusion during the second to third week. Half the patients simultaneously developed a moderate ventricular dilatation. The development of a subdural effusion was hard to recognize from the clinical course. Nevertheless the patients mostly had a good post-operative recovery. The hygromas disappeared by subdural peritoneal shunting. In two patients a ventriculoatrial shunt was necessary on account of the hydrocephalus. Based upon clinical and CT scan characteristics a multifactorial hypothetical model of the development of the traumatic subdural effusion is proposed.
D000293:Adolescent; D000328:Adult; D001930:Brain Injuries / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008581:Meningitis / Q000209:etiology*; D008722:Methods; D008875:Middle Aged; D013353:Subdural Effusion / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed
Das traumatische subdurale Hygrom. Ein Beitrag zur Klinik und Pathogenese.