Three cases of traumatic subdural effusion following surgery of chronic subdural hematoma and literature review
Hu Yukun
Zhang Xuming
Cai Jiachen
Jin Ke
Sun Chengfa
Abstract：Objective To investigate the treatment strategies for traumatic subdural effusion(TSE)after chronic subdural hematoma(CSDH)surgery.Methods The data of 3 patients with TSE after CSDH were analyzed retrospectively,including general information,clinical manifestations,imaging results,treatment and prognosis.Chinese databases(CNKI,VIP,Wanfang,etc.)were searched for relevant studies on TSE after CSDH surgery before April 2024.Results All three patients with CSDH had headache,decreased consciousness,and some had intracranial hypertension manifestations such as nausea and vomiting.TSE was confirmed by imaging examination,and varying degrees of midline deviation were seen,poor incision healing,and high-pressure liquid ejection could be seen from the incision after suture removal.After more than 2 times of surgical drainage,they could not be cured,and finally the lumbar cisterna was used for continuous drainage,and they were gradually cured and discharged.The Chinese literature was searched,and 3 patients were similar to the cases in this study.Conclusions TSE is a rare complication after CSDH,and the hematoma cavity should be completely opened for drainage.If the response is not satisfactory,continuous drainage of the lumbar cisterna after surgery can effectively improve the prognosis.
Keywords：hematomasubduralchronicsubdural effusiontensionlumbar cistern drainage
Publication Date：2024-05-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 284-289 )