Turkish Neurosurgery 1993 , Vol 3 , Num 2
Temporary Subdural-Peritoneal Shunts in The Treatment of Paediatric Subdural Coneetions
SAFFET MUTLUER, YUSUF ERŞAHİN, ELİF GÜZELBAĞ, EROL BARÇIN, İRFAN PALALI
Division of Pediatric Neurosurgery, Ege University Medical School, Izmir, Türkiye Subdural collections are frequently seen during infancy but there is no agreement on their management . The results of 58 consecutive patients in which a subdural-peritoneal shunt was inserted for the treatment of subdural collection are presented. Subdural collection was diagnosed with computed tomography in all cases, unilateral in 12 and bilateral in 46. Macrocrania, bulging fontanelle, seizure and anaemia the predominant symptoms and signs related to subdural collection improved in all patients, except two cases with brain tumour whose clinical status persisted. There was no operative mortality. S-P shunts were removed in 38 cases. Unilateral S-P shunt is effective in bilateral subdural collections and it seems that S-P shunt is an effective method in the management of this condition in infants and children. Keywords : Subdural haematoma, Computed tomography, Subdural-peritoneal shunt
Corresponding author : Saffet Mutluer