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Journal of Korean Neurosurgical Society 2005;37(6): 432-435.
Effectiveness of Early Surgery in Children with Traumatic Subdural Hygroma.
Byoung Ook Kim, Seok Won Kim, Seung Myung Lee
Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea. chosunns@hanmail.net
ABSTRACT
OBJECTIVE
This study was performed to evaluate the usefulness of early operation in children with traumatic subdural hygroma. METHODS: The subjects were nine patients (Glasgow coma scale (GCS) score was below 10 and age was below 10 years old) who developed subdural hygroma after trauma between January 2000 to December 2002. Subduroperitoneal shunt was performed in one group and not performed in the other group. We analyzed the GCS score on admission and at 1 year after operation. Overall clinical results were evaluated retrospectively. RESULTS: Patients who underwent operation exhibited higher GCS scores at 1 year after trauma compared to those in the patients who were treated by conservative therapy(p<0.05). CONCLUSION: The early operation could be an effective treatment to children with subdural hygroma who showed delayed improvement of consciousness and to patients with hygroma that didn't decrease or was above moderate amount.
Key Words: Early operation; Traumatic subdural hygroma; Child; Subduroperitoneal shunt
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