Pediatrik subdural higroma tedavisinde subduroperitoneal şant
Subdural higroma pediatrik populasyonda sık olarak görülür ancak yönetimi konusunda tam bir fikir birliği yoktur. Bu çalışmada subduroperitoneal şant takılan 4 subdural higromalı hastayı sebepleri, preoperatif semptomları ve postoperatif sonuçları ile birlikte değerlendirildi. Tüm hastalar erkekti. Hastalarda subdural higromaya bağlı gelişen fontanel gerginliği, nöbet geçirme, huzursuzluk gibi başlıca semptomlar düzeldi. Subduroperitoneal şant uygulamasının subdural higromalı pediatrik populasyonun yönetiminde etkili bir metod olduğu görülmektedir.
Subdural peritoneal shunt in the treatment of pediatric subdural hygroma
Subdural hygroma are frequently seen among pediatric population but there is no agreement on their management. The present article evaluated the causes, preoperative symptoms and postoperative results of 4 patients with subdural hygroma who have been inserted subduroperitoneal shunt. All patients were boys. Bulging fontanelle, seizure and restlesness the predominant symptoms related to subdural hygroma improved in all patients. It seems that subduroperitoneal shunt is an effective method in the management of this condition in pediatric population.
___
- 1. Swift DM, McBride L. Chronic subdural hematoma in children. Neurosurg Clin North Am. 2000;11:439-46.
- 2. Rakate HL. Treatment of hydrocephalus. In: Textbook of Principal and Practice of Pediatric Neurosurgery (Eds AL Albright, IF Pollack, PD Adelson):52-3. New York, Thieme, 1999.
- 3. Ersahin Y, Tabur E, Kocaman S, Mutluer S. Complications of subduroperitoneal shunting . Child Nerv Syst. 2000;16:433–6.
- 4. Caldarelli M, Di Rocco C, Romani R. Surgical treatment of chronic subdural hygroma in infants and children. Acta Neurochir. 2000;144:581-8.
- 5. Kuzma BB, Goodman JM. Differentiating external hydrocephalus from chronic subdural hematoma. Surg Neurol. 1998;50:86-8.
- 6. Morota N, Sakamoto K, Kobayashi N, Kitazawa K, Kobayashi S .Infantile subdural fluid collection : diagnosis and postoperative course. Childs Nerv Syst. 1995;11:459-66.
- 7. Aoki N. Chronic subdural hematoma in infancy. clinical analysis of 30 cases in the CT era. J Neurosurg. 1990;73:201-5.
- 8. Moyes PD, Thompson GB, Cluff IW. Subdural peritoneal shunts in the treatment of subdural effusions in infants. J Neurosurg. 1969;23:584-7.
- 9. Mutluer S , Ersahin Y ,Guzelbag E, Barcın E, Palalı İ. Temporary subdural-peritoneal shunts in the treatment of paediatric subdural collections. Turkish Neurosurgery. 1993;3:73-6.
- 10. Hobbs C, Childs AM, Wynne J, Livingston J, Seal A. Subdural haematoma and effusion in infancy: an epidemiological study . Arch Dis Child. 2005;90:952–5.
- 11. Cho JB, Cho KH, Kim SH, Shin YS, Lee W, Yoon SH. Surgical treatment of subdural hygromas in infants and children. J Korean Neurosurg Soc. 2005;38:273-90.
- 12. Shulman K, Ransohoff J. Subdural hematoma in children: the fate of children with retained membranes. J Neurosurgery. 1961;18:175-81.
- 13. Zanini MA, De lima resende LA, De souza faleiros AT. Traumatic subdural hygromas: proposed pathogenesis based classification. J Trauma. 2008;64:705-13.
- 14. Collins WF. Pued GL. Peritoneal drainage of subdural hematomas in infants. J Pediatr. 1961;58:482-5.
- 15. Penet GE, Graf Q. Subgaleal shunt for temporary ventride decompression and subdura! drainage. J Neurosurg. 1977;47:590-5.
- 16. Aoki N. Masuzawa H. Bilateral chronic subdural hematomas without eommunieation between the hematoma cavities: treatment with unilateral subdural·peritoneal shunt. Neurosurgery. 1988;22:911-3.
- 17. Sakka L, Cinalli G, Sainte-Rose C, Renier D, Zerah M, Pierre-Kahn A . Subduro-peritoneal shunting in children. Childs Nerv Syst. 1997;13:487.