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- W2216127029 abstract "Coexistent of paradoxical herniation and subdural hygroma (SDG) is very rare, confusing symptoms may mislead the therapies. We report a case of a 33-year-old man underwent decompressive craniectomy (DC), postoperatively, the patient developed progressive neurologic deterioration and midline shift opposite to the DC window, CT scan revealed a SDG beside the DC window, instead of attributing the midline shift to the SDG, we recognized the underlying paradoxical herniation according to the sunken skin flap and history of lumbar cistern drainage. Subsequently we treat him with intravenous fluid expansion therapy instead of draining from the SDG, the patient recovered in one day and no recurrence was found later. For patients underwent DC, we should pay attention to the occurrence of paradoxical herniation, SDG following DC may be the consequence of paradoxical herniation caused by CSF reduce therapy in post-DC patient, intravenous fluid expansion therapy is recommended and would play a great role for the recovery of the patient rather than surgical management." @default.
- W2216127029 created "2016-06-24" @default.
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- W2216127029 date "2015-12-01" @default.
- W2216127029 modified "2023-10-09" @default.
- W2216127029 title "Coexistent of paradoxical herniation and subdural hygroma: a case report" @default.
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- W2216127029 doi "https://doi.org/10.1186/s41016-015-0012-5" @default.
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