Document Detail


Chronic subdural hematoma in infancy. Clinical analysis of 30 cases in the CT era.
MedLine Citation:
PMID:  2366077     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The cases of 30 infants with chronic subdural hematoma treated surgically between 1978 and 1987 (after the introduction of computerized tomography) were reviewed. This series was limited to infants presenting with increased intracranial pressure, neurological deficits, or developmental retardation. Nineteen patients were male and 11 were female, ranging in age from 1 to 14 months (average 6.1 months). The surgical treatment was initiated with percutaneous subdural tapping which was repeated periodically, if indicated, for 2 weeks. If the patients failed to respond to subdural tapping, subdural-peritoneal shunting was installed. The follow-up periods were from 3 months to 9 years 8 months (average 4 years 10 months). Computerized tomography at that time disclosed disappearance or minimal collection of subdural fluid in 28 cases (93%) and a significant collection (greater than 5 mm) in two (7%). Neurological examination revealed that the patients were "normal" in 17 cases (57%), "mildly or moderately disabled" in nine (30%), and "severely disabled" in four (13%). The majority of disabled patients had lesions secondary to infantile acute subdural hematoma, child abuse, or hemorrhagic diathesis. These results indicate that the treatment protocol in the present series is acceptable for the elimination of subdural hematoma. Together, early diagnosis and treatment of the etiological conditions causing the lesion are indispensable for obtaining a satisfactory neurological outcome.
Authors:
N Aoki
Related Documents :
15662807 - Gamma knife surgery for trigeminal neuralgia: improved initial response with two isocen...
16955037 - Outcomes of surgery for resection of regions of symptomatic radiation injury after ster...
18635837 - Curable cause of paraplegia: spinal dural arteriovenous fistulae.
17277687 - Trigeminal nerve radiosurgical treatment in intractable chronic cluster headache: unexp...
24996247 - Lethal triad in severe burns.
1316077 - A comparison of the safety and efficacy of lomefloxacin and ciprofloxacin in the treatm...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  73     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1990 Aug 
Date Detail:
Created Date:  1990-08-15     Completed Date:  1990-08-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  201-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurosurgery, Tokyo Metropolitan Fuchu Hospital, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Chronic Disease
Female
Hematoma, Subdural / etiology,  radiography,  surgery*
Humans
Infant
Male
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Risk of late stroke and survival following carotid endarterectomy procedures for symptomatic patient...
Next Document:  Primary central nervous system lymphomas: natural history and response to radiation therapy in 55 pa...