Preoperative Cisternoscintigraphy As a Guide to Therapeutic Decision Making for Cystic Subdural Hygroma / 대한핵의학회잡지
Korean Journal of Nuclear Medicine
;
: 366-369, 2000.
Artigo
em Coreano
| WPRIM
| ID: wpr-175876
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.
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Assunto principal:
Hemorragia Subaracnóidea
/
Espaço Subaracnóideo
/
Derrame Subdural
/
Encéfalo
/
Drenagem
/
Derivação Ventriculoperitoneal
/
Linfangioma Cístico
/
Tomada de Decisões
/
Ácido Pentético
/
Emergências
Tipo de estudo:
Estudo prognóstico
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Nuclear Medicine
Ano de publicação:
2000
Tipo de documento:
Artigo
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