Preoperative Cisternoscintigraphy As a Guide to Therapeutic Decision Making for Cystic Subdural Hygroma.
- Author:
Sung Min KIM
;
Hee Seung BOM
;
Ho Chun SONG
;
Jung Jun MIN
;
Hwan Jeong JEONG
;
Ji Yeul KIM
- Publication Type:Case Report
- Keywords:
Tc-99m DTPA;
Cisternoscintigraphy;
Subdural hygroma
- MeSH:
Aged;
Brain;
Decision Making*;
Drainage;
Emergencies;
Female;
Heart Ventricles;
Humans;
Hydrocephalus;
Lymphangioma, Cystic;
Neurosurgery;
Pentetic Acid;
Subarachnoid Hemorrhage;
Subarachnoid Space;
Subdural Effusion*;
Ventriculoperitoneal Shunt
- From:Korean Journal of Nuclear Medicine
2000;34(4):366-369
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of a patient with cystic subdural hygroma who underwent pre-operative Tc-99m DTPA cistrenoscintigraphy to determine the course of operation. A 68-year-old female was admitted to the department of neurosurgery because of acute subarachnoid hemorrhage. After emergency ventricular drainage, the hydrocephalus and cystic subdural hygroma in the right fronto-temporal area developed. She underwent Tc-99m DTPA cisternoscintigraphy to evaluate the type of hydrocephalus, which revealed obstructive communicating hydrocephalus and the communication between the subdural hygroma and the subarachnoid space. As a result of these findings, she underwent the ventriculo-peritoneal shunt operation without removal of the subdural hygroma. Post-operative brain CT showed nearly normalized shape and size of the right ventricle and disappearance of subdural hygroma. We recommend the pre-operative cisternoscintigraphy in patients with complex hygroma to evaluate the communication between subdural hygroma and the subarachnoid space.
