The Korean Journal of Nuclear Medicine (대한핵의학회지)

The Korean Society of Nuclear Medicine (대한핵의학회)
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Preoperative Cisternoscintigraphy As a Guide to Therapeutic Decision Making for Cystic Subdurnl Hygroma: Case Report

수술 전 뇌조신티그라피에 의해 치료방침을 결정한 경막하 수활액낭종 1례

  • Kim, Sung-Min (Department of Nuclear Medicine, Chonnam National University Medical School) ;
  • Bom, Hee-Seung (Department of Nuclear Medicine, Chonnam National University Medical School) ;
  • Song, Ho-Chun (Department of Nuclear Medicine, Chonnam National University Medical School) ;
  • Min, Jung-Jun (Department of Nuclear Medicine, Chonnam National University Medical School) ;
  • Jeong, Hwan-Jeong (Department of Nuclear Medicine, Chonnam National University Medical School) ;
  • Kim, Ji-Yeul (Department of Nuclear Medicine, Chonnam National University Medical School)
  • 김성민 (전남대학교 의과대학 핵의학교실) ;
  • 범희승 (전남대학교 의과대학 핵의학교실) ;
  • 송호천 (전남대학교 의과대학 핵의학교실) ;
  • 민정준 (전남대학교 의과대학 핵의학교실) ;
  • 정환정 (전남대학교 의과대학 핵의학교실) ;
  • 김지열 (전남대학교 의과대학 핵의학교실)
  • Published : 2000.08.31
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Abstract

We report a case of a patient with cystic subdural hygroma who underwent pre-operative Tc-99m DTPA cistrenoscintigraphy to determine the course of operation. A 68-year-old female was admitted to the department of neurosurgery because of acute subarachnoid hemorrhage. After emergency ventricular drainage, the hydrocephalus and cystic subdural hygroma in the right fronto-temporal area developed. She underwent Tc-99m DTPA cisternoscintigraphy to evaluate the type of hydrocephalus, which revealed obstructive communicating hydrocephalus and the communication between the subdural hygroma and the subarachnoid space. As a result of these findings, she underwent the ventriculo-peritoneal shunt operation without removal of the subdural hygroma. Post-operative brain CT showed nearly normalized shape and size of the right ventricle and disappearance of subdural hygroma. We recommend the pre-operative cisternoscintigraphy in patients with complex hygroma to evaluate the communication between subdural hygroma and the subarachnoid space.

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