A Case Report of Severe Traumatic Brain Injury and Intractable Subdural Effusion. Issue 3 (August 2015)

• Record Type: Journal Article
• Authors: Zhang, Shu-Guang; Li, Xiao-Liang; Pan, Tian-Hong; Shi, Lei
• Is Part Of: Neurosurgery quarterly. Volume 25:Issue 3(2015)
• Publication Date: 2015-08
• Subjects: traumatic brain injury -- subdural effusion -- surgery; Nervous system -- Surgery -- Periodicals; 617.4805
• DOI: 10.1097/WNQ.0000000000000020
• Languages: English
• ISSNs: 1050-6438

Abstract

Abstract : Traumatic subdural effusion is an accumulation of the cerebrospinal fluid in the subdural space after traumatic brain injury. However, the pathogenesis and clinical significance are uncertain. As the majority of patients with subdural effusion do not show a mass effect, most subdural effusions resolve when the brain is well expanded. Thus, surgery is rarely required. We have not seen any reports of a deteriorating subdural effusion using a combined treatment of Ommaya reservoirs and encephalo-myo-synangiosis. In this report, we showed that the patient, who had developed an apparent mass effect and had deteriorating clinical manifestations, needed such a combined surgery.