J Korean Neurosurg Soc.  1996 Aug;25(8):1602-1606.

Subdural Hygroma Following Pterional Approach for Cerebral Aneurysmal Surgery

• Park CY
• Choi BY
• Kim SH
• Bae JH
• Kim OL
• Cho SH

Abstract

The occurrence of subdural hygroma following pterional approach for intracranial aneurysm at Yeungnam University from March 1994 to December 1994 was studied with regard to the patients age, location of aneurysm, preoperative ventricular dilatation, operation time, cortex color, CSF flow, opening degree of Liliequist membrane, dissection degree of sylvian fissure, postoperative intradural air amount and day for mannitol infusion using chi-square test. The following results and conclusions were obtained: 1) Subdural hygroma was observed in 28 of 53 patients(52.8%). 2) The patient's age was significantly related to the occurance of subdural hygroma(p<0.05). 3) CSF flow through the basal cistern was significantly related to the occurrence of subdural hygroma(p<0.05). 4) In cases of good CSF flow, degree of Lilieqist membrane opening was significantly related to the occurrence of subdural hygroma(p<0.05). Preserving of Liliequist membrane will minimize the occurrence of subdural hygroma.

Keyword

Subdural hygroma; CSF flow; Liliequist membrane; Aneurysmal surgery; Pterional approach; SAH

MeSH Terms

Aneurysm
Dilatation
Humans
Intracranial Aneurysm*
Mannitol
Membranes
Subdural Effusion*
Mannitol