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Titolo:
HYDROCEPHALUS AND MACROCRANIA - SURGICAL OR NONSURGICAL TREATMENT OF POSTSHUNTING SUBDURAL-HEMATOMA
Autore:
PUCA A; FERNANDEZ E; COLOSIMO C; LAURETTI L; PALLINI R; TAMBURRINI G;
Indirizzi:
CATHOLIC UNIV SACRED HEART,INST NEUROSURG,LARGO A GEMELLI 8 I-00168 ROME ITALY CATHOLIC UNIV SACRED HEART,INST NEUROSURG I-00168 ROME ITALY CATHOLIC UNIV SACRED HEART,INST RADIOL I-00168 ROME ITALY
Titolo Testata:
Surgical neurology
fascicolo: 4, volume: 45, anno: 1996,
pagine: 376 - 382
SICI:
0090-3019(1996)45:4<376:HAM-SO>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRESSURE HYDROCEPHALUS; SHUNTS; VALVE;
Keywords:
SUBDURAL HEMATOMA; HYDROCEPHALUS; CEREBROSPINAL FLUID SHUNTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
A. Puca et al., "HYDROCEPHALUS AND MACROCRANIA - SURGICAL OR NONSURGICAL TREATMENT OF POSTSHUNTING SUBDURAL-HEMATOMA", Surgical neurology, 45(4), 1996, pp. 376-382

Abstract

BACKGROUND Subdural hematoma is a well-known complication of hydrocephalus shunting procedures. Since the advent of modern neuroimaging techniques, a more realistic incidence of subdural hematomas in shunted patients has been recognized. The description of several asymptomatic cases raises the problem of choosing the most appropriate therapeutic policy for such a condition. METHODS We report two cases with long standing hydrocephalus and macrocrania in which bilateral huge acute and subacute postshunting subdural hematoma developed and remained asymptomatic. RESULTS The first patient was treated initially by surgery. Subsequently, despite the persistence of the subdural collections, a nonsurgical policy was chosen. The second patient was deliberately nonsurgically treated. CONCLUSIONS On the basis of our experience, we concludethat a nonsurgical policy should be followed in patients with long standing hydrocephalus and macrocrania, if they develop postshunting large hemorrhagic subdural collections and remain asymptomatic.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 09:23:38