Neurocirugía Neurocirugía
Neurocirugia 2004;15:67-71 - Vol. 15 Núm.1 DOI: 10.1016/S1130-1473(04)70503-5
Colecciones subdurales postraumaticas: presentación de un caso y revisión de la literatura
Postraumatic subdural collections: case report and review of the literature
P. Miranda??, R.D. Lobato, J.J. Rivas, J.F. Alén, A. Lagares
Servicio de Neurocirugía. Hospital 12 de Octubre. Madrid
Recibido 10 enero 2003, Aceptado 15 abril 2003
Resumen

Las colecciones subdurales postraumáticas y postquirúrgicas han sido habitualmente denominadas higromas, y corresponden a colecciones de líquido claro, xantocrómico o teñido de sangre en el espacio subdural. Actualmente, las colecciones subdurales son denominadas como higromas simples o complejos, efusión subdural o hidrocefalia externa, dependiendo del mecanismo de formación, la composición o las características que presentan en las modernas pruebas de imagen. Sin embargo, no existe acuerdo en la literatura a la hora de establecer una denominación homogénea para estas entidades. Se presenta un caso complejo de colección subdural postraumática y posquirúrgica y se revisa la literatura, remarcando los aspectos comunes y diferenciales de las variantes más frecuentes de las colecciones subdurales.

Abstract

Posttraumatic and postcraniectomy subdural fluid collections have been usually described with the general term of hygroma. Recently, different clinical entities have been described, such as simple or complex hygroma, subdural effusion or external hydrocephalus, based on the mechanisms of formation of the fluid collection, its biochemical composition or the characteristics exhibited in modern imaging studies. However, there is no agreement in the literature regarding the use of these terms. We report a new case of a mixed posttraumatic and postcraniectomy subdural fluid collection and review the literature concerning these entities.

Palabras clave
Higroma subdural, Efusión subdural, Craniectomía, Trauma craneal
Keywords
Subdural hygroma, Subdural effusion, Craniectomy, Head injury
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Miranda, P; Lobato, R.D.; Rivas, J.J.; Alen, J.F.; Lagares, A.: Colecciones subdurales postraumáticas: presentación de un caso y revisión de la literatura. Neurocirugía 2004; 15:67–71.

Copyright © 2004. Sociedad Española de Neurocirugía
Neurocirugia 2004;15:67-71 - Vol. 15 Núm.1 DOI: 10.1016/S1130-1473(04)70503-5