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[Subdural effusions in children. Pathophysiology and treatment]
S Gusmão1, R L Silveira, G Cabral Filho
1Serviço de Neurocirurgia do Hospital Madre Teresa, Belo Horizonte, MG, Brasil.
Insights
Subdural peritoneal shunts effectively treated subdural effusions in nine children, with 80% experiencing complete or near-complete resolution. This surgical intervention improved patient outcomes, highlighting its efficacy in managing pediatric subdural effusions.
Area of Science:
- Pediatric Neurosurgery
- Neurology
- Medical Imaging
Context:
- Subdural effusions are a significant concern in pediatric neurosurgery.
- Accurate measurement and effective treatment are crucial for patient outcomes.
- Quantitative morphology and CT scans offer valuable assessment tools.
Purpose:
- To evaluate the efficacy of subdural peritoneal shunts in treating pediatric subdural effusions.
- To assess the functional outcomes of patients post-treatment.
- To review the pathophysiology and treatment options for subdural effusions.
Summary:
- Nine pediatric patients with subdural effusions underwent subdural peritoneal shunt surgery.
- Post-operative CT scans and quantitative morphology assessed effusion resolution.
- 8 out of 9 patients showed complete or near-complete resolution of subdural effusions.
Impact:
- Subdural peritoneal shunting demonstrates high efficacy in resolving pediatric subdural effusions.
- The procedure leads to favorable functional outcomes in the majority of treated children.
- This study contributes to understanding the management of subdural effusions in pediatric neurosurgery.
Abstract:
Nine children harboring subdural effusions were treated by subduro peritoneal shunt. These patients were followed-up by CT scans. The area of the subdural effusions was measured by quantitative morphology with a planimeter. With the surgical treatment, the subdural effusion disappeared completely or near completely in 8 patients. The patient's functional state were excellent in 4, good in 3 and bad in 2 in the postoperative follow-up. We aldo reviewed the literature as far as the pathophysiology and the treatment of the subdural effusions are concerned.