Non-traumatic subdural hygroma |
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Authors: | R A Dierckx M Bruyland Z Nuyens T Stadnik C Solheid G Ebinger |
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Institution: | Dept. of Neurology, University Hospital, Vrije Universiteit Brussel, Belgium. |
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Abstract: | Subdural hygroma consists of a cerebrospinal fluid-like subdural fluid collection with a low oncotic pressure in comparison with venous blood. Its etiology and pathophysiology, which may be different from other subdural fluid collections, are reviewed. We report the clinical history of a 80-year-old woman with a bilateral frontal subdural hygroma. Serial CT-scanning demonstrated a rapid increase in volume after two years of slow evolution. In our patient dehydration may have been the triggering factor. The course of non-traumatic subdural hygroma is not well known. This report illustrates that subdural hygroma can have a dramatic evolution and that therapeutic decisions in these patients should be based on repeated CT-scans. |
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