Outcomes and Experience with Subdural Peritoneal Shunts in the Management of Subdural Hematoma

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Drs. Valerio J., Alvarez A.,Coy S., Quillo J., Wolf A.

 

ABSTRACT

Describe a surgical technique and report outcomes in a prospective observational study. Patients underwent subdural peritoneal (SP) shunting for the treatment of sub-acute / chronic subdural hematoma. Considerations, risk, benefits, complications, and outcomes related to this technique was reported.

Prospective, clinical observational study between June 2000 and Dec 2014. SP shunting technique over a 13-year period was analyzed. Factors including the age, size of subdural hematoma, BMI, complications, re incidence, and clinical-neurological progression were analyzed

Twenty Eight subjects were followed with the diagnosis of sub-acute /chronic subdural hematoma. Total resolution time of subdural hematoma was 1.4 months. Perioperative and postoperative complications were collected. Subdural hematoma and shunt drainage was successful in all cases. Successfully drainage was evaluated clinically and by Brain CT Scan. No Central Nervous system or Shunt infection was reported.  No cardiovascular complications were observed, and there were no cases of distal occlusion, distal revision and post-operative seizure. There was no significant relationship between complications and body mass index or the use of anticoagulants after 30 days of placement.

 SP shunting, though rarely used, is a viable option in the treatment of subdural hematomas. This technique prevent and low the re incidence of hematoma. When pursuing this treatment, this technique is recommended to mitigate the risks of re incidence, and clinical deterioration. Brain CT Scan should be obtained after surgery and at one- month follow up.

Keywords: subdural hematoma, shunt, craniotomy, mental status, trauma. 

 


 1Department of Neurological Surgery, Miami Neuroscience Center at Larkin, 6129 SW 70th St, South Miami, FL 33143, Tel (786) 871-6800

 

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