Coexistent of paradoxical herniation and subdural hygroma: A case report

被引：0

作者：

Feng Y. ^{[1
]}

Wang Y. ^{[1
]}

机构：

[1] 772X Anhui Medical University, School of Clinical Medicine (WUXI 101-hospital), 101# Xingyuan Road, Wuxi, 214000, Jiangsu

来源：

Chinese Neurosurgical Journal | / 1卷 / 1期

关键词：

Decompressive craniectomy; Paradoxical herniation; Subdural hygroma;

D O I：

10.1186/s41016-015-0012-5

中图分类号：

学科分类号：

摘要：

Background: Coexistent of paradoxical herniation and subdural hygroma (SDG) is very rare, confusing symptoms may mislead the therapies. Case presentation: We report a case of a 33-year-old man underwent decompressive craniectomy (DC), postoperatively, the patient developed progressive neurologic deterioration and midline shift opposite to the DC window, CT scan revealed a SDG beside the DC window, instead of attributing the midline shift to the SDG, we recognized the underlying paradoxical herniation according to the sunken skin flap and history of lumbar cistern drainage. Subsequently we treat him with intravenous fluid expansion therapy instead of draining from the SDG, the patient recovered in one day and no recurrence was found later. Conclusion: For patients underwent DC, we should pay attention to the occurrence of paradoxical herniation, SDG following DC may be the consequence of paradoxical herniation caused by CSF reduce therapy in post-DC patient, intravenous fluid expansion therapy is recommended and would play a great role for the recovery of the patient rather than surgical management. © 2015 Feng and Wang.

引用

共 14 条

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