수술 전 뇌조신티그라피에 의해 치료방침을 결정한 경막하 수활액낭종 1례 ( Preoperative Cisternoscintigraphy As a Guide to Therapeutic Decision Making for Cystic Subdural Hygroma: Case Report ) () |
Author |
김성민(Sung Min Kim),범희승(Hee Seung Bom),송호천(Ho Chun Song),민정준(Jung Jun Min),정환정(Hwan Jeong Jeong),김지열(Ji Yeul Kim), |
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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. (Korean J Nucl Med 2000;34:366-9) |
Keyword |
Tc-99m DTPA, Cisternoscintigraphy, Subdural hygroma |
Full text Article |
28503276.pdf
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