SpringerLink
Log in

Spontaneous evolution of posttraumatic subdural hygroma into chronic subdural haematoma

  • Clinical Articles
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

Thirteen of 145 patients with post-traumatic subdural hygroma (SDHy) developed chronic subdural haematoma (CSDH) at the involved site over a period of 6 years. CSDHs were found at the site of SDHys with no history of further head injury at a mean interval of 56 days. It appeared that these 13 patients did not have any distinguishing clinical features early on. Old age and brain atrophy on CT scans do not seem to be reasonable causative factors in the evolution of SDHy into CSDH. Initial enlargement of subdural accumulations at an early stage of SDHy and a subsequent increase in density at a later stage may point to the development of CSDH from SDHy in some instances. Ten of these 13 CSDH cases underwent surgical drainage, and the remaining 3 cases received no specific management. All resolved completely. The prognosis was good in all patients. The possible mechanism for the evolution of SDHy into CSDH is discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Thailand)

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Dublin AB, French BN, Rennick JM (1977) Computed tomography in head trauma. Radiology 122: 365–369

    PubMed  Google Scholar 

  2. Ecklin FA, Sordillo SUR, Garvey TQJ (1956) Acute, subacute, and chronic subdural haematoma. JAMA 161: 1345–1350

    Google Scholar 

  3. French BN, Dublin AB (1977) The value of computerized tomography in the management of 1000 consecutive head injuries. Surg Neurol 7: 171–183

    PubMed  Google Scholar 

  4. French BN, Cobb III CA, Corkill G, Youmans JR (1978) Delayed evolution of posttraumatic subdural hygroma. Surg Neurol 9: 145–148

    PubMed  Google Scholar 

  5. Fobben ES, Grossman RI, Hackney DB, Goldberg HI, Zimmerman RA, Bilaniuk LT (1989) MR characteristics of subdural haematomas and hygromas at 1.5 T. AJR 153: 589–595

    PubMed  Google Scholar 

  6. Fogelhom R, Waltimo O (1975) Epidemiology of chronic subdural haematoma. Acta Neurochir (Wien) 32: 247–250

    Google Scholar 

  7. Gutierrez FA, Raimondi AJ (1974) Delayed onset of acute post-traumatic subdural effusion. Am J Dis Child 128: 327–331

    PubMed  Google Scholar 

  8. Hasegawa M, Yamashima T, Yamashita J, Suzuki M, Shimada S (1992) Traumatic subdural hygroma: pathology and meningeal enhancement on magnetic resonance imaging. Neurosurgery 31: 580–585

    PubMed  Google Scholar 

  9. Hoff J, Bates E, Barnes B, Glickman M, Margolis T (1973) Traumatic subdural hygroma. J Trauma 13: 870–876

    PubMed  Google Scholar 

  10. Ito H, Komai T, Yamamoto S (1978) Fibrinolytic enzyme in the living walls of chronic subdural haematoma. J Neurosurg 48: 197–200

    PubMed  Google Scholar 

  11. Ito H, Yamamoto S, Komai T, Mizukoshi H (1976) Role of local hyperfibrinolysis in the etiology of chronic subdural haematoma. J Neurosurg 45: 26–31

    PubMed  Google Scholar 

  12. Markwalder T-M (1981) Chronic subdural haematomas: a review. J Neurosurg 54: 637–645

    PubMed  Google Scholar 

  13. McLaurin RL, Tutor FT (1961) Acute subdural haematoma. Review of 90 cases. J Neurosurg 18: 61–67

    Google Scholar 

  14. Naffziger HC (1924) Subdural fluid accumulations following head injury. JAMA 82: 1751–1752

    Google Scholar 

  15. Naganuma H, Fukamachi A, Kawakami M, Misumi S, Nakajima H, Wakao T (1986) Spontaneous resolution of chronic subdural haematomas. Neurosurgery 19: 794–798

    PubMed  Google Scholar 

  16. Nakamura H, Ogawa T, Hashimoto T, Yuki K, Kobayashi S (1981) Reevaluation on resolving subdural haematoma. Neurol Med Chir 21: 491–500 (Japanese)

    Google Scholar 

  17. Oka H, Motomochi M, Suzuki Y, Ando K (1972) Subdural hygroma after head injury. Acta Neurochir (Wien) 26: 265–273

    Google Scholar 

  18. Payr E (1916) Meningitis serosa traumatica bei und nach Schädelverletzungen. Med Klin 12: 841–846

    Google Scholar 

  19. Rosenbluth PR, Arias B, Quantetti EV (1962) Current management of subdural haematoma. Analysis of 100 consecutive cases. JAMA 179: 759–762

    PubMed  Google Scholar 

  20. Schneider RC (1969) Craniocerebral trauma. In: Kahn EAet al (eds) Correlative neurosurgery, 2nd Ed. Thomas, Springfield, Illinois, pp 533–596

    Google Scholar 

  21. Scotti G, Terbrugge K, Melancon D, Belanger G (1977) Evaluation of the age of subdural haematomas by computerized tomography. J Neurosurg 47: 311–315

    PubMed  Google Scholar 

  22. St. John JN, Dila C (1981) Traumatic subdural hygroma in adults. Neurosurgery 9: 621–625

    PubMed  Google Scholar 

  23. Stone JL, Lang RGR, Sugar O, Moody RA (1981) Traumatic subdural hygroma. Neurosurgery 8: 542–549

    PubMed  Google Scholar 

  24. Taguchi Y, Nakamura N, Sato J, Hasegawa Y (1982) Pathogenesis of chronic subdural haematoma. Neurol Med Chir 22: 276–282 (Japanese)

    Google Scholar 

  25. Takahashi Y, Sato H, Inoue Y, Takeda S, Ohkawara S (1982) CT findings and the evaluation of chronic subdural haematoma. Part I: forecast of chronic subdural haematoma. Neurosurgery 10: 281 (Abstract)

    Google Scholar 

  26. Thomas LM, Gurdjian ES (1973) Intracranial haematomas of traumatic origin. In: Youmans JR (ed) Neurological surgery, Vol 2. Saunders, Philadelphia, pp 960–968

    Google Scholar 

  27. Winestock DP, Spetzler RF, Hoff JT (1975) Acute post-traumatic subdural hygroma. Radiology 115: 373–375

    PubMed  Google Scholar 

  28. Wetterling T, Demierre B, Rama B, Nekic M (1988) Protein analysis of subdural hygroma fluid. Acta Neurochir (Wien) 91: 79–82

    Google Scholar 

  29. Yamada H, Watanabe T, Mutata S, Shibui S, Nihei H, Kohno T, Itoh T (1980) Developmental process of chronic subdural collections of fluid based on CT scan findings. Surg Neurol 13: 441–448

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Catholic University Medical College, Seoul, Korea

    K. H. Choi

  2. Department of Neurosurgery, Catholic University Medical College, Seoul, Korea

    C. K. Park M. D., M. C. Kim, J. K. Kang & C. R. Choi

Authors
  1. C. K. Park M. D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K. H. Choi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. C. Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. J. K. Kang
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. C. R. Choi
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Park, C.K., Choi, K.H., Kim, M.C. et al. Spontaneous evolution of posttraumatic subdural hygroma into chronic subdural haematoma. Acta neurochir 127, 41–47 (1994). https://doi.org/10.1007/BF01808545

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01808545

Keywords

Search

Navigation