Chronic subdural hematoma preceded by traumatic subdural hygroma

Park, Seong‐Hyun; Lee, Sun-Ho; Park, Jaechan; Hwang, Jeong-In; Hwang, Sung-Kyoo; Hamm, In-Suk

doi:10.1016/j.jocn.2007.08.003

Cited by 47 publications

(42 citation statements)

References 16 publications

(31 reference statements)

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“…Then the left side of the cranium would be the top, when a man lies on his back. CSDHs frequently originate from SDGs 13,15,20) . SDGs usually locate on the top of the head 14) .…”

Section: Discussionmentioning

confidence: 99%

What Determines the Laterality of the Chronic Subdural Hematoma?

Kim

Lee

Shim

et al. 2010

J Korean Neurosurg Soc

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Objective : Chronic subdural hematomas (CSDH) are more common on the left hemisphere than on the right. We verified this left predilection of CSDH and tried to explain the reason for this discrepancy. Methods : We investigated the laterality of CSDH in 182 patients who were treated from January 2005 to December 2009. We examined the symmetry of the cranium and the location of the lesion. Results : CSDH was more common on the left-side. The cranium was symmetric in 63 patients, asymmetric in 119 patients. The asymmetric crania were flat on the right-side in 77 patients, on the left-side in 42 patients. The density of the CSDHs was hypodense in 29 patients, isodense 132 patients, and the others in 21 patients. Bilateral hematomas were more common in the hypodense group. In the right flat crania, the hematoma was more commonly located on the opposite side of the flat side. While in the left flat crania, the hematoma was more common on the same side. Conclusion : CSDHs occurred more frequently on the left side. The anatomical asymmetry of the cranium influences the left predilection of CSDH.

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“…Then the left side of the cranium would be the top, when a man lies on his back. CSDHs frequently originate from SDGs 13,15,20) . SDGs usually locate on the top of the head 14) .…”

Section: Discussionmentioning

confidence: 99%

What Determines the Laterality of the Chronic Subdural Hematoma?

Kim

Lee

Shim

et al. 2010

J Korean Neurosurg Soc

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“…Traumatic subdural effusions or hygromas have been regarded as another origin of CSDH, 5,9,11,13,16,19) and an association between arachnoid cysts and subdural hygromas has been reported. 1,3,13,17) One mechanism for the pathogenesis of hygromas is that head injury causes a connection between the cyst and the subarachnoid space.…”

Section: Discussionmentioning

confidence: 99%

“…3,7,11) Subdural hygromas caused by arachnoid cyst are not always unilateral, and bilateral hygromas can transform into bilateral CSDH. 11,14,16) The pathogenesis of evolution of subdural hygromas into CSDH 9,16,19) and the mechanism of hematoma enlargement has been discussed, mostly in adult cases without arachnoid cyst. 4,6,11,12,[20][21][22] CSF in the subdural space forms a fibrous outer membrane under the dura mater.…”

Section: Discussionmentioning

confidence: 99%

“…4,6,11,12,[20][21][22] CSF in the subdural space forms a fibrous outer membrane under the dura mater. 10,11,16) Then, a local inflammatory reaction induces angiogenesis in the membrane. These immature vessels, Neurol Med Chir (Tokyo) 52, February, 2012 CSDH Associated With Arachnoid Cyst so-called macrocapillaries, have greater permeability and fragility, and high function of fibrinolysis.…”

Section: Discussionmentioning

confidence: 99%

“…These immature vessels, Neurol Med Chir (Tokyo) 52, February, 2012 CSDH Associated With Arachnoid Cyst so-called macrocapillaries, have greater permeability and fragility, and high function of fibrinolysis. 9,11,16) Therefore, hematoma develops from exudation and repeated bleeding.…”

Section: Discussionmentioning

confidence: 99%

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Chronic Subdural Hematoma Associated With Arachnoid Cyst

Takayasu¹,

Harada²,

Nishimura³

et al. 2012

Neurol. Med. Chir.(Tokyo)

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Arachnoid cysts are well known to induce chronic subdural hematoma (CSDH) after head injury. However, histological observations of the arachnoid cyst and hematoma membrane have only been rarely described. An 8-year-old boy and a 3-year-old boy presented with CSDH associated with arachnoid cyst. Surgical removal of the hematoma and biopsy of the hematoma membrane and cyst wall were performed. Clinical courses were good and without recurrence more than 1.5 years after surgery. Histological examination suggested that the cysts did not contribute to hematoma development. Pediatric hematoma membranes, similar to adult hematoma membranes, are key in the growth of CSDH. Therefore, simple hematoma evacuation is adequate as a first operation for CSDH associated with arachnoid cyst.

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Cranial Chronic Subdural Hematoma Following Traumatic Subdural Hygroma

Akhaddar

2021

Subdural Hematoma

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Chronic subdural hematoma preceded by traumatic subdural hygroma

Cited by 47 publications

References 16 publications

What Determines the Laterality of the Chronic Subdural Hematoma?

What Determines the Laterality of the Chronic Subdural Hematoma?

Chronic Subdural Hematoma Associated With Arachnoid Cyst

Cranial Chronic Subdural Hematoma Following Traumatic Subdural Hygroma

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