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首页> 外文期刊>Open Journal of Modern Neurosurgery >Subdural Hygroma: Different Treatment Modalities and Clinical Outcome
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Subdural Hygroma: Different Treatment Modalities and Clinical Outcome

机译：硬膜下湿疹：不同的治疗方式和临床结果

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Background: Subdural hygroma (SDHy) is a collection of cerebrospinal fluid (CSF) under the dural membrane. It is usually asymptomatic but may alter consciousness. Management is still a matter of controversy (conservative Vssurgical) especially when consciousness is a concern. Aim: To assess the different treatment modalities of SDHy regarding the patients’ characteristics and clinical outcome, finding out the significant differences and the future recommendations. Patients and Methods: In this prospective one-year clinical case study, thirty patients were included. Patients’ sociodemographic and clinical characteristics were analyzed. Fifteen patients were managed conservatively whereas the rest were managed surgically. Outcome was correlated with the patients’ characteristics. Results: Twenty four men (80%) and 6 women (20%). Mean age = 25.2 years old. Hygroma was unilateral in 63.3% and fronto-parietal in 60% of patients. The most frequent concomitant injuries were brain contusions (50%) and subarachnoid hemorrhage (33.3%), respectively. The conservative group was treated symptomatically. The surgical group had burr hole evacuation (12 patients) and subdural peritoneal shunt (3 patients). No statistical significance in outcome in either group, but surgical group showed better outcome (73.3%) than conservative group (53.3%). Younger patients have good outcome (65%) compared to (55.3%) in old patients. Patients with severe GCS showed poor outcome (8/8 patients, 100%), whereas mild and moderate GCS patients showed good outcome (19/22 patients, 86%). Conclusion: SDHy though is a benign lesion its management is a matter of controversy. The decision of surgery is affected by GCS and neurological deterioration. Generally, the surgical option is more favorable but the conservative option should be the role as far as there is no concern on consciousness.
机译：背景：硬膜下湿疹（SDHy）是硬膜下的脑脊液（CSF）的集合。它通常是无症状的，但可能会改变意识。管理仍然是一个有争议的问题（保守Vssurgical），尤其是在意识方面。目的：评估SDHy关于患者特征和临床结果的不同治疗方式，找出明显的差异和未来的建议。患者和方法：在这项为期一年的前瞻性临床案例研究中，纳入了30名患者。分析了患者的社会人口统计学和临床​​特征。保守治疗15例，其余手术治疗。结果与患者的特征有关。结果：二十四名男性（80％）和六名女性（20％）。平均年龄= 25.2岁。潮气单侧占63.3％，额顶壁占60％。最常见的伴随伤害是脑挫伤（50％）和蛛网膜下腔出血（33.3％）。保守组经过对症治疗。手术组有毛孔疏散（12例）和硬膜下腹膜分流（3例）。两组的结局均无统计学意义，但手术组的结局（73.3％）优于保守组（53.3％）。年轻患者的预后良好（65％），而老年患者的预后良好（55.3％）。患有严重GCS的患者显示不良预后（8/8患者，100％），而轻度和中度GCS患者显示良好预后（19/22患者，86％）。结论：SDHy虽然是一种良性病变，但其管理仍存在争议。手术决定受GCS和神经系统恶化的影响。通常，手术选择是更有利的，但是保守选择应该起作用，只要与意识无关。

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