Luo Anqi, Eibach Sebastian, Zovickian John, Pang Dachling
Department of Neurosurgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Pediatr Neurosurg. 2017;52(5):336-342. doi: 10.1159/000479330. Epub 2017 Aug 25.
Infratentorial subdural hygromas causing secondary occlusive hydrocephalus are extremely rare in children. Only a handful of cases have been reported in the literature.
We present a case of a 6-month-old infant with an occipital fracture and slow enlargement of a posterior fossa subdural hygroma that culminated in obstructive hydrocephalus. We give a review of the literature on post-traumatic posterior fossa hygroma with secondary occlusive hydrocephalus and discuss its pathogenesis and the mechanism of its later resolution, as well as the available treatment options.
A temporary external ventricular drain led to acute relief of the hydrocephalus and subsequent complete resolution of the subdural hygroma.
Temporary external ventricular drain placement led to complete resolution of the subdural hygroma and hydrocephalus. We recommend close clinical follow-up, and imaging if indicated, for as long as 4 weeks after trauma with occipital skull fractures.
幕下硬膜下积液导致继发性梗阻性脑积水在儿童中极为罕见。文献中仅报道了少数病例。
我们报告一例6个月大婴儿，有枕骨骨折，后颅窝硬膜下积液缓慢增大，最终导致梗阻性脑积水。我们回顾了关于创伤后后颅窝积液伴继发性梗阻性脑积水的文献，并讨论其发病机制、后期消退机制以及可用的治疗选择。
临时外置脑室引流管使脑积水得到急性缓解，随后硬膜下积液完全消退。
临时外置脑室引流管置入使硬膜下积液和脑积水完全消退。我们建议对枕骨骨折创伤后长达4周的患者进行密切临床随访，并根据需要进行影像学检查。
