Korean J Nucl Med.  2000 Aug;34(4):366-369.

Preoperative Cisternoscintigraphy As a Guide to Therapeutic Decision Making for Cystic Subdural Hygroma

• Kim SM
• Bom HS
• Song HC
• Min JJ
• Jeong HJ
• Kim JY

Abstract

We report a case of a patient with cystic subdural hygroma who underwent pre-operative Tc-99m DTPA cistrenoscintigraphy to determine the course of operation. A 68-year-old female was admitted to the department of neurosurgery because of acute subarachnoid hemorrhage. After emergency ventricular drainage, the hydrocephalus and cystic subdural hygroma in the right fronto-temporal area developed. She underwent Tc-99m DTPA cisternoscintigraphy to evaluate the type of hydrocephalus, which revealed obstructive communicating hydrocephalus and the communication between the subdural hygroma and the subarachnoid space. As a result of these findings, she underwent the ventriculo-peritoneal shunt operation without removal of the subdural hygroma. Post-operative brain CT showed nearly normalized shape and size of the right ventricle and disappearance of subdural hygroma. We recommend the pre-operative cisternoscintigraphy in patients with complex hygroma to evaluate the communication between subdural hygroma and the subarachnoid space.

Keyword

Tc-99m DTPA; Cisternoscintigraphy; Subdural hygroma

MeSH Terms

Aged
Brain
Decision Making*
Drainage
Emergencies
Female
Heart Ventricles
Humans
Hydrocephalus
Lymphangioma, Cystic
Neurosurgery
Pentetic Acid
Subarachnoid Hemorrhage
Subarachnoid Space
Subdural Effusion*
Ventriculoperitoneal Shunt
Pentetic Acid