Acute contralateral subdural hygroma following craniectomy.
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.
Su
Feng-Wen
FW
Department of Neurosurgery, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Ho
Jih-Tsun
JT
Wang
Hung-Chen
HC
D000208:Acute Disease; D003399:Craniotomy / Q000009:adverse effects*; D019299:Decompression, Surgical / Q000009:adverse effects*; D006408:Hematoma, Subdural / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D013353:Subdural Effusion / Q000209:etiology*; D014057:Tomography, X-Ray Computed / Q000379:methods