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POST-TRAUMATIC SUBDURAL HYDROMA: Report of a Case of Massive External Hydrocephalus

POST-TRAUMATIC SUBDURAL HYDROMA: Report of a Case of Massive External Hydrocephalus Abstract POST-TRAUMATIC external hydrocephalus is a relatively uncommonly recognized sequel of head injury. Wycis,1 in 1945, included an excellent review of the literature on this subject in his article in which he presented seven cases of post-traumatic subdural hydroma. Cohen,2 in 1927, described a patient who had a chronically recurring subdural collection of fluid and who, after several drainages were performed, finally underwent craniotomy. In this patient there was marked displacement of the brain and the ventricular system. This patient, however, was the only one found reported on in the literature in whom there was sufficient subdural fluid to cause deformity of the ventricular system. A massive reaccumulating collection of subdural fluid which caused marked ventricular displacement was successfully treated by inserting a polyethylene tube intracranially to drain the subdural hydroma into the right mastoid antrum in the following patient. REPORT OF A CASE A 50-odd-year-old Negro man fell References 1. Wycis, H. T.: Subdural Hydroma: A Report of 7 Cases , J. Neurosurg. 2:340-357 ( (July) ) 1945.Crossref 2. Cohen. I., and Elsberg, C. A.: Chronic Subdural Accumulations of Cerebrospinal Fluid After Cranial Trauma: Report of a Case , Arch Neurol. & Psychiat. 18:709-723 ( (Nov.) ) 1927. 3. Nosik, W. A.: Ventriculomastoidostomy: Technique and Observations , J. Neurosurg. 7:236-239 ( (May) ) 1950. 4. Dandy, W. E.: Chronic Subdural Hydroma and Serous Meningitis (Pachymeningitis Serosa: Localized External Hydrocephalus) , in Lewis' Practice of Surgery , Hagerstown, Md., W. F. Prior Company, Inc., 1945, Vol. 2, pp. 291-293 5. Treatment of an Unusual Subdural Hydroma (External Hydrocephalus) , Arch. Surg. 52:421-428 ( (April) ) 1946. 6. Gotten, N., and Hawkes, C. E.: Acute Subdural Hydromas , South. Surgeon 13:689-695 ( (Sept.) ) 1947. 7. Naffziger, H. C.: Subdural Fluid Accumulations Following Head Injury , j: A. M. A. 82:1751-1752 ( (May 31) ) 1924. 8. Svien, H. J.; Dodge, H. W., Jr., and Lake, C. L.: Ventriculo Mastoid Shunt in the Management of Obstruction to the Aqueduct of Sylvius in the Adult: Report of a Case , Proc. Staff Meet., Mayo Clin. 27:215-218 ( (May 21) ) 1952. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

POST-TRAUMATIC SUBDURAL HYDROMA: Report of a Case of Massive External Hydrocephalus

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References (8)

Publisher
American Medical Association
Copyright
Copyright © 1953 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1953.01260040125017
Publisher site
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Abstract

Abstract POST-TRAUMATIC external hydrocephalus is a relatively uncommonly recognized sequel of head injury. Wycis,1 in 1945, included an excellent review of the literature on this subject in his article in which he presented seven cases of post-traumatic subdural hydroma. Cohen,2 in 1927, described a patient who had a chronically recurring subdural collection of fluid and who, after several drainages were performed, finally underwent craniotomy. In this patient there was marked displacement of the brain and the ventricular system. This patient, however, was the only one found reported on in the literature in whom there was sufficient subdural fluid to cause deformity of the ventricular system. A massive reaccumulating collection of subdural fluid which caused marked ventricular displacement was successfully treated by inserting a polyethylene tube intracranially to drain the subdural hydroma into the right mastoid antrum in the following patient. REPORT OF A CASE A 50-odd-year-old Negro man fell References 1. Wycis, H. T.: Subdural Hydroma: A Report of 7 Cases , J. Neurosurg. 2:340-357 ( (July) ) 1945.Crossref 2. Cohen. I., and Elsberg, C. A.: Chronic Subdural Accumulations of Cerebrospinal Fluid After Cranial Trauma: Report of a Case , Arch Neurol. & Psychiat. 18:709-723 ( (Nov.) ) 1927. 3. Nosik, W. A.: Ventriculomastoidostomy: Technique and Observations , J. Neurosurg. 7:236-239 ( (May) ) 1950. 4. Dandy, W. E.: Chronic Subdural Hydroma and Serous Meningitis (Pachymeningitis Serosa: Localized External Hydrocephalus) , in Lewis' Practice of Surgery , Hagerstown, Md., W. F. Prior Company, Inc., 1945, Vol. 2, pp. 291-293 5. Treatment of an Unusual Subdural Hydroma (External Hydrocephalus) , Arch. Surg. 52:421-428 ( (April) ) 1946. 6. Gotten, N., and Hawkes, C. E.: Acute Subdural Hydromas , South. Surgeon 13:689-695 ( (Sept.) ) 1947. 7. Naffziger, H. C.: Subdural Fluid Accumulations Following Head Injury , j: A. M. A. 82:1751-1752 ( (May 31) ) 1924. 8. Svien, H. J.; Dodge, H. W., Jr., and Lake, C. L.: Ventriculo Mastoid Shunt in the Management of Obstruction to the Aqueduct of Sylvius in the Adult: Report of a Case , Proc. Staff Meet., Mayo Clin. 27:215-218 ( (May 21) ) 1952.

Journal

A.M.A. Archives Surgery – American Medical Association

Published: Jul 1, 1953

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