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http://dx.doi.org/10.5762/KAIS.2013.14.4.1765

Progression of Subdural Effusion after Surgical Treatment  

Kim, Jaehyeon (Department of Neurosurgery, Presbyterian Medical Center)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.14, no.4, 2013 , pp. 1765-1773 More about this Journal
Abstract
The purpose of this study was to contribute to the medical treatment of subdural effusion through clinical sequence analysis of patients who experienced improvement of subdural drainage and had a second operation for subdural drainage or subduroperitoneal shunt. Sixteen cases of the whole patients who have been underwent subdural effusion and subdural drainage were analyzed during the period from 2006 July to 2012 June. The study gave us a result that all of patients, who was taking aspirin, have been under the second operation(p<0.001) and these group have had a subduraoperitoneal shunt(p=0.014)). According to the comparative analysis for the patients group that divided into two; one had subduroperitoneal shunt and the other had no subduroperitoneal shunt, the outcomes of this study were shown as follows. First, their median line deviation was serious in their brain CT. In addition, their subdural effusion increased or did not change with a headache, vomiting, fever and dyspnea. As a result of those symptoms. subduraoperitoneal shunt was carried out(p=0.006). The surgical method for patients who were taken asprin must be cautiously selected and the prevention of sudden disappearance of cerebrospinal fluid and excessive change of intracranial pressure is very important in operation craniectomy.
Keywords
Aspirin; Drainage; Subdural Effusion;
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1 B. Aarabi, D. C. Hesdorffier, E. S. Ahn, C. Aresco, T. M. Scalea, H. M. Eisenbeg, "Outcome Following Decompressive Carniectomy for malignant swelling dueto Severe Head Injury", J. Neurosurg. 104, 4, 469-479. 2006. DOI: http://dx.doi.org/10.3171/jns.2006.104.4.469   DOI
2 S. Q. Yu, J.S. Wang, ,N. Ji, "Compressive Brainstem Deformation Resulting from Subdural Hygroma After Neurosurgery: a Case Report", Chinese Medical Journal, 121, 11, 1055-1056, 2008.
3 N. Yilmaz, N. Kiymaz, C. Yilmaz, A. Bay, "Surgical Treatment Outcomes in Subdural Effusion: a Clinical Study", Pediatr. Nerurosurg., 42, 1, 1-3, 2006. DOI: http://dx.doi.org/10.1159/000089502   DOI   ScienceOn
4 B. J. Connolly, L. A. Pearce, T. Kurth, C. S. Kase, R. G. Hart, "Aspirin Therapy and Risk of Subdural Hematoma: Meta-analysis of Randomized Clinical Trials", J. Stroke Cerebrovasc. Dis., 13, 1052-1057, 2013. DOI: http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2013.01.007   DOI   ScienceOn
5 M. A. Zanini, L. A. Resende, A. T. Faleiros, R. C. Gabarra, "Traumatic Subdural Hygromas: Proposed Pathogenesis Based Classification", J. Trauma, 64, 3, 705-713, 2008. DOI: http://dx.doi.org/10.1097/TA.0b013e3180485cfc   DOI   ScienceOn
6 K. Imai, "Rapid Spontaneous Resolution of Signs of Intracranial Herniation due to Subdural Hematoma-Case Report", Neurologia Med. Chir., 43, 3, 125-129, 2003. DOI: http://dx.doi.org/10.2176/nmc.43.125   DOI   ScienceOn
7 Y. Hasegawa, T. Tanaka, N. Kato, S. Kaku, T. Arai, T. Abe, "Arachnoidplasty for Traumatic Subdural Hygroma Associated with Arachnoid Cyst in the Middle Fossa", Neurol. Med. Chir., 50, 8, 698-701, 2010. DOI: http://dx.doi.org/10.2176/nmc.50.698   DOI   ScienceOn
8 M. Escosa-Bage and R. C. Sola, "Physiolopathology of Adult Onset External Hydrocephalus", Revista de Neurologia, 35, 2, 141-144, 2002.
9 D. F. O'Brien, S. Basu, J. R. O'Donnell, G. A. Roberts, J. Phillips,. "Impact of Aspirin Therapy and Anticoagulation on The Prevalence of Spontaneous Subdural Hematoma", Ir. Med. J. 93, 8, 244-246, 2000.
10 Z. S. Zhanaĭdarov, A. V. Klimash , R. N. Berdiev, V R. K. asumov, E.V. Zavgorodniaia, "Clinico-Neurological Features, Diagnostics and Surgical Treatment of Posttraumatic Chronic Subdural Hematomas", Vestn Khir Im I I Grek, 164, 6, 152-157, 2005.
11 J. B. Cho, "Surgical Treatment of Subdural Hygromas in Infants and Children", J. Korean Neurosurg. Soc., 38, 273-280, 2005.   과학기술학회마을
12 B. Mokri, "Headache Caused by Decreased Intracranial Pressure: Diagnosis and Management", Curr. Opin. Neurol., 16, 3, 319-326, 2003. DOI: http://dx.doi.org/10.1097/00019052-200306000-00011   DOI   ScienceOn
13 O. A. Sveinsson, H. Asgeirsson, I. H. Olafsson, "Brain Abscess-overvies", Laeknabladid, 99, 1, 25-31, 2013.
14 S. C. Lee, J. K. Kang, H. J. Jung, J. O. Dho, "Factors Affecting Brain Re-expansion after Simple Burr Hole Drainage in Chronic Subdural Hematoma", J. Korean Neurosurg. Soc., 27, 757-762, 1998.
15 O. P. Gautschi, D. Cadosch, M. N. Stienen, , "Decompressive Craniectomy in Acu, L. A. Steiner, K. Schaller, "Decompressive Craniectomy in Acute Stroke-The Different Perspective", Anasthesiol Intensivmed Natfallmed Schmerzther, 47, 1, 8-13, 2012. DOI: http://dx.doi.org/10.1055/s-0032-1301374   DOI   ScienceOn
16 K. S. Yoon, S. R. Han, G. T. Yee, C. Y. Choi, M. J. Sohn, C. H. Lee, "Subduroperitoneal Shunt for Subdural Hygromas in Adults", J. Korean Neuro. Soc., 37, 436-442, 2005.
17 C. Kilincer, O. Simsek, M. K. Hamamcioglu, T. HIcdonmez, S. Cobanoglu, "Contralateral Subdural Effusion After Aneurysm Surgery and Decompressive Craniectomy: Case Report and Review of the Literature", Clinical Neurology and Neurosurgery, 107, 5, 412-416, 2005. DOI: http://dx.doi.org/10.1016/j.clineuro.2004.09.018   DOI   ScienceOn
18 C. I. Ju, S. W. Kim, S. M. Lee, at al., "The Surgical Results of Trumatic Subdural Hygroma Treated with Subduroperitoneal Shunt", J. Korean Neurosurg. Soc, 37, 136-142, 2005.
19 S. W. Jeon, J. H. Choi, T. W. Jang, S. M. Moon, H.S. Hwang, J. H. Jeong, "Risk Factors Associated with Subdural Hygroma After Decompressive Craniectomy in Patients with Traumatic Brain Injury: a Comparative Study", J. Korean Neurosurg. Soc., 49, 355-358, 2011. DOI: http://dx.doi.org/10.3340/jkns.2011.49.6.355   DOI   ScienceOn
20 M. Caldarelli, C. Di Rocco, R. Romani, "Surgical Treatment of Chronic Subdural Hygromas in Infants and Children", Acta. Neurochir., 144, 581-588, 2002. DOI: http://dx.doi.org/10.1007/s00701-002-0947-0   DOI   ScienceOn
21 K. S. Lee, W. K. Bae, H. G. Bae, I. G. Yun, "The Fate of Traumatic Subdural Hygroma in Serial Computed Tomographic Scans", J. Korean Med. Sci., 15, 5, 560-568, 2000.   DOI   ScienceOn
22 H. Openshaw, J. A. Ressler, D.S. Snyder, "Lumbar Puncture and Subdural Hygroma and Hematomas in Hematopoietic Cell Transplant Patients", Bone Marrow Transplant, 41, 9, 791-795, 2008. DOI: http://dx.doi.org/10.1038/sj.bmt.1705971   DOI   ScienceOn
23 W. I. Schievink, M. M. Maya, B. K. Pikul, C. Louy, "Spontaneous Spinal Cerebrospinal Fluid Leaks as The Cause of Subdural Hematomas in Elderly Patients on Anticoagulation", J. Neurosurg, 112, 2, 295-299, 2010. DOI: http://dx.doi.org/10.3171/2008.10.JNS08428   DOI   ScienceOn
24 K. S. Lee, "The Pathogenesis and Clinical Significance of Traumatic Subdural Hygroma", Brain Inj, 12, 7, 595-603, 1998. DOI: http://dx.doi.org/10.1080/026990598122359   DOI   ScienceOn
25 W. W. Choi, K. H. Kim, "Prognostic Factors of Chronic Subdural Hamatoma", J. Korean Neuro. Soc., 32, 18-22, 2002.