J Korean Neurosurg Soc.  2005 Jun;37(6):432-435.

Effectiveness of Early Surgery in Children with Traumatic Subdural Hygroma

• Kim BO
• Kim SW
• Lee SM

Abstract

OBJECTIVE
This study was performed to evaluate the usefulness of early operation in children with traumatic subdural hygroma. METHODS: The subjects were nine patients (Glasgow coma scale (GCS) score was below 10 and age was below 10 years old) who developed subdural hygroma after trauma between January 2000 to December 2002. Subduroperitoneal shunt was performed in one group and not performed in the other group. We analyzed the GCS score on admission and at 1 year after operation. Overall clinical results were evaluated retrospectively. RESULTS: Patients who underwent operation exhibited higher GCS scores at 1 year after trauma compared to those in the patients who were treated by conservative therapy(p<0.05). CONCLUSION: The early operation could be an effective treatment to children with subdural hygroma who showed delayed improvement of consciousness and to patients with hygroma that didn't decrease or was above moderate amount.

Keyword

Early operation; Traumatic subdural hygroma; Child; Subduroperitoneal shunt

MeSH Terms

Child*
Coma
Consciousness
Humans
Lymphangioma, Cystic
Retrospective Studies
Subdural Effusion*