PDF(Pubmed)
Abstract：
Persistent hydrocephalus is common in children after resection of posterior fossa tumours. However, occurrence of subdural hygroma is very rare. We report the case of a 14-month-old child who presented at a paediatric neurology clinic in Muscat, Oman in 2021 who developed a tense subdural hygroma with stable hydrocephalus, in the early postoperative period, following posterior fossa tumour resection. We describe the distinctive clinical, radiological and pathological features associated with the development of a tense subdural hygroma. We also discuss the management by cerebrospinal fluid diversion, which includes either a ventriculoperitoneal or subduroperitoneal shunt. This unique condition is distinguished from external hydrocephalus by features that are critical to the management strategy.
摘要：
儿童后颅窝肿瘤切除后，持续性脑积水很常见。然而,硬膜下水瘤的发生非常罕见。我们报告了一个14个月大的孩子在马斯喀特的儿科神经科诊所就诊的病例，阿曼在2021年发展了紧张的硬膜下水瘤，并伴有稳定的脑积水，在术后早期，后颅窝肿瘤切除术后。我们描述了独特的临床，与紧张的硬膜下水瘤发展相关的放射学和病理学特征。我们还讨论了脑脊液分流的管理，其中包括脑室-腹膜或腹膜下分流术。这种独特的状况与外部脑积水的区别在于对管理策略至关重要的特征。
