Subdural hygroma associated with axillary cystic hygroma

Joseph Kaleyias; Diana X. Bharucha; William Yorns; Jill W. Miller-Horn; Christine Finck; Joseph H. Piatt; Sanjeev V. Kothare

doi:10.1055/s-0035-1557415

Journal of Pediatric Neurology, Inhaltsverzeichnis

Journal of Pediatric Neurology 2008; 06(01): 061-064
DOI: 10.1055/s-0035-1557415

Case Report

Georg Thieme Verlag KG Stuttgart – New York

Subdural hygroma associated with axillary cystic hygroma

Autor*innen

Joseph Kaleyias

^aDepartment of Pediatrics, Division of Neurology, St. Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia, PA, USA
Diana X. Bharucha

^bMedical Student, Drexel University College of Medicine, Philadelphia, PA, USA
William Yorns

^cMedical Student, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA
Jill W. Miller-Horn

^dDepartment of Pediatrics, St. Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia, PA, USA
Christine Finck

^eDepartment of Surgery, St. Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia, PA, USA
Joseph H. Piatt

^fDepartment of Neurosurgery, St. Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia, PA, USA
Sanjeev V. Kothare

^aDepartment of Pediatrics, Division of Neurology, St. Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia, PA, USA

Verantwortlicher Herausgeber dieser Rubrik:

Abstract

als PDF herunterladen

Abstract

We present a case of a 4-month-old girl with a history of a huge axillary cystic hygroma since birth, with elective surgical resection of the lesion and subsequent development of infection at the surgery site. During hospitalization for the infection, she developed seizures, a bulging fontanelle, increased head circumference, and widely separated cranial sutures. Brain imaging demonstrated new, large, bilateral subdural fluid collections with membrane enhancement around the left-sided collection. She was managed by subdural tap, bilateral craniotomy, broad-spectrum antibiotics, and subduroperitoneal shunt insertion. Ultimately, she had complete recovery without complications. This case adds to the spectrum of intracranial conditions that have been associated with cystic hygroma.

Keywords

Subdural hygroma - axillary cystic hygroma - neonate

PDF (130 kb)