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July 1953

POST-TRAUMATIC SUBDURAL HYDROMA: Report of a Case of Massive External Hydrocephalus

Author Affiliations


AMA Arch Surg. 1953;67(1):122-125. doi:10.1001/archsurg.1953.01260040125017

POST-TRAUMATIC external hydrocephalus is a relatively uncommonly recognized sequel of head injury.

Wycis,1 in 1945, included an excellent review of the literature on this subject in his article in which he presented seven cases of post-traumatic subdural hydroma.

Cohen,2 in 1927, described a patient who had a chronically recurring subdural collection of fluid and who, after several drainages were performed, finally underwent craniotomy. In this patient there was marked displacement of the brain and the ventricular system. This patient, however, was the only one found reported on in the literature in whom there was sufficient subdural fluid to cause deformity of the ventricular system.

A massive reaccumulating collection of subdural fluid which caused marked ventricular displacement was successfully treated by inserting a polyethylene tube intracranially to drain the subdural hydroma into the right mastoid antrum in the following patient.

REPORT OF A CASE  A 50-odd-year-old Negro man fell

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