Abstract
Thirty-four cases of infantile subdural effusion (ISE) were reviewed in relation to surgical treatment and its prognosis during an average of 4 years of extended follow-up. The surgical indications were determined mainly by the size of the ISE on computed tomography (CT) scan and by metrizamide CT cisternography (MCTC). Consequently, 18 cases were categorized as type A according to MCTC, including 11 cases (61.1%) of ISE CT grade 1. All type A cases were closely observed. This nontreatment regimen yielded excellent results in 15 cases (83.3%). For 10 cases categorized as type B according to MCTC, including 5 cases (50%) of ISE CT grade 3, surgical treatment was indicated and excellent results were obtained in 8 cases (80%). For 6 cases categorized as type C according to MCTC and as ISE CT grade 3, surgery yielded excellent results in 4 cases (66.7%). Antiepleptic drugs have been given to three (27.3%) of the 11 patients who had convulsive attacks. In conclusion, the surgical indications for ISE were based mainly on MCTC in addition to the clinical course, and it is emphasized that, in the early stages, surgery on ISE cases categorized as MCTC types B and C is necessary.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Andersson H, Elfverson J,Svendsen P (1984) External hydrocephalus in infants. Child's Brain 11: 398–402
Briner S, Bodensteiner J (1980) Benign subdural collections of infancy. Pediatrics 67: 802–804
Carolan PL, McLaurin RL, Towbin RB, Towbin JA, Egelhoff JC (1985/1986) Benign extra-axial collections of infancy. Pediatr Neurosci 12: 140–144
Goodman JM, Mealey J (1969) Postmeningitic subdural effusions: the syndrome and its management.J Neurosurg 30: 658–663
Gutierrez FA (1977) Angiographic characteristics of certain subdural collections of fluid. Child's Brain 3: 48–61
Gutierrez FA, Raimondi AJ (1975) Delayed onset of acute posttraumatic subdural effusion. Am J Dis Child 128: 327–331
McLaurin RL, Isaacs E, Lewis P (1971) Results of nonoperative treatment in 15 cases of infantile subdural hematoma. J Neurosurg 34: 753–759
Ment LR, Duncan CC, Geehr R (1981) Benign enlargement of the subarachnoid spaces in the infant. J Neurosurg 54: 504–508
Mori K, Handa H, Itoh M, Okuno T (1980) Benign subdural effusions in infants. J Comput Assist Tomogr 4: 466–471
Nellhaus G (1968) Head circumference from birth to eighteen years. Pediatrics 41: 106–114
Njiokiktjien CJ, Valk J, Ponssen H (1980) Subdural hygroma: results of treatment by ventriculoabdominal shunt.Child's Brain 7: 285–302
Robertson WC, Chun RWM, Orrison WW, Sackett JF (1979) Benign subdural collections of infancy. J Pediatr 94: 382–385
Sahar A (1978) Pseudohydrocephalus-megalocephaly, increased intracranial pressure and widened subarachnoid space. Neuropädiatrie 9: 131–139
Smith MHD, Dormont RE, Prather GW (1951) Subdural effusions complicating bacterial meningitis. Pediatrics 7: 34–43
Tsubokawa T, Nakamura S, Sato K (1984), Effect of temporary subdural-peritoneal shunt on subdural effusion with subarachnoid effusion. Child's Brain 11: 47–59
Ueda T, Yamada H, Sakai N, Andoh T, Hirata T, Kumagai M, Asano Y, Sugimoto S, Futamua A, (1988) Surgical treatment for infantile fluid collections. Nerv Syst Child 13: 351–358
Velardi F, Hoffman HJ, Ash JM,Hendrick EB, Humphreys RP (1986) The value of CSF flow studies in infants with communicating hydrocephalus. Child's Nerv Syst 2: 139–143
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sakai, N., Nokura, H., Deguchi, K. et al. Surgical indications for infantile subdural effusion. Child's Nerv Syst 6, 447–450 (1990). https://doi.org/10.1007/BF00302091
Received:
Revised:
Issue Date:
DOI: https://doi.org/10.1007/BF00302091