Management for traumatic chronic subdural hematoma patients with well-controlled shunt system for hydrocephalus.
Traumatic CSDH enlarged in two cases with VP or LP shunt system although the shunt valve pressure was increased to 200 mmH2O. In surgery, the hematoma cavity pressure was found to be 130 and 140 mmH2O, suggesting that to raise the shunt valve pressure is not effective for decreasing CSDH volume.
Department of Neurosurgery, Teikyo University Mizonokuchi Hospital 3-8-3 Mizonokuchi, Takatsu-ku, Kawasaki, Kanagawa, 213-8507, Japan.
Shoko Mitrrt
SM
Yamada
Department of Neurosurgery, Teikyo University Mizonokuchi Hospital 3-8-3 Mizonokuchi, Takatsu-ku, Kawasaki, Kanagawa, 213-8507, Japan.
Yusuke
Y
Tomia
Department of Neurosurgery, Teikyo University Mizonokuchi Hospital 3-8-3 Mizonokuchi, Takatsu-ku, Kawasaki, Kanagawa, 213-8507, Japan.
Hideki
H
Murakami
Department of Neurosurgery, Teikyo University Mizonokuchi Hospital 3-8-3 Mizonokuchi, Takatsu-ku, Kawasaki, Kanagawa, 213-8507, Japan.
Makoto
M
Nakane
chronic subdural hematoma; hydrocephalus; intracranial pressure; shunt pressure; trauma