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Post-traumatic subdural hygroma: case report
Thomas J S Herold1, Shawn Taylor, Kelly Abbrescia
1Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, Brooke Army Medical Center, Fort Sam Houston, Texas, USA.
The Journal of Emergency Medicine
|October 23, 2004
Summary
Subdural hygroma (SDG) is a common complication of head trauma. This case highlights potential conservative management for midline shift, even in elderly patients.
Area of Science:
- Neurology
- Emergency Medicine
- Radiology
Background:
- Subdural hygroma (SDG) is a frequent complication of blunt head trauma, affecting 5-20% of closed head injuries.
- Understanding SDG, its relation to subdural hematoma (SDH), and management is crucial for emergency physicians.
Observation:
- A 90-year-old woman presented with a closed head injury sustained 5 days prior.
- Computed tomography (CT) scan revealed subdural hygroma with significant midline shift.
Findings:
- Despite the presence of mass effect and midline shift, conservative management was considered.
- The case explores the potential for spontaneous resolution of intracranial fluid collections.
Implications:
- This case underscores the importance of considering conservative management for subdural hygroma, even in elderly patients with significant midline shift.
- Further research into non-surgical interventions for SDG may refine treatment protocols in emergency medicine.