Insertion of the subduro-peritoneal drainage in a patient with recurrent bilateral subdural hygroma: a case report
Keywords:
subdural hygroma, craniocerebral trauma, recurrence, treatment, subduro-peritoneal drainageAbstract
Background: Subdural hygroma is collection of the cerebrospinal-like fluid in the subdural space. It is usually asymptomatic. Sometimes gradual increase is noted which acts tensionally and causes pressure on the brain structures. It this case surgical treatment is necessary which is usually straightforward.
Results: In the paper a case of a patient is presented where after craniocerebral injury bilateral symptomatic subdural hygroma developed. He was first treated with insertion of bilateral subdural drainage and then with repeated subdural taps. After both therapeutic measures the hygroma always recurred with worsening of the clinical condition. For permanent resolution of the hygroma an insertion of the subduro-peritoneal drainage was needed. After this operation the patient fully recovered. Two months after the operation he is without problems and the hygroma did not recur.
Conclusions: This case report proves that in recurrent subdural hygroma insertion of the subduro-peritoneal drainage is a good treatment option. Unilateral drainage could be beneficial even in bilateral hygroma.
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