PMID: 8607090Apr 1, 1996Paper

Hydrocephalus and macrocrania: surgical or non-surgical treatment of postshunting subdural hematoma?

Surgical Neurology
A PucaG Tamburrini

Abstract

Subdural hematoma is a well-known complication of hydrocephalus shunting procedures. Since the advent of modern neuroimaging techniques, a more realistic incidence of subdural hematomas in shunted patients has been recognized. The description of several asymptomatic cases raises the problem of choosing the most appropriate therapeutic policy for such a condition. We report two cases with long standing hydrocephalus and macrocrania in which bilateral huge acute and subacute postshunting subdural hematoma developed and remained asymptomatic. The first patient was treated initially by surgery. Subsequently, despite the persistence of the subdural collections, a nonsurgical policy was chosen. The second patient was deliberately nonsurgically treated. On the basis of our experience, we conclude that a nonsurgical policy should be followed in patients with long standing hydrocephalus and macrocrania, if they develop postshunting large hemorrhagic subdural collections and remain asymptomatic.

References

Aug 1, 1978·Journal of Neurology, Neurosurgery, and Psychiatry·A H Moussa, S K Sharma
Mar 1, 1991·Surgical Neurology·R H Pudenz, E L Foltz
Jan 1, 1987·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·U DietrichB Majewski
Feb 1, 1970·Journal of Neurology, Neurosurgery, and Psychiatry·R D Illingworth

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Citations

Feb 4, 2010·Journal of Neurosurgery. Pediatrics·Takahiro MurataKazuhiro Hongo
Oct 26, 2016·Acta neurochirurgica·Ilaria ViozziAndré Grotenhuis

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