Simultaneous Cranioplasty and Subdural-Peritoneal Shunting for Contralateral Symptomatic Subdural Hygroma following Decompressive Craniectomy

Figure 1

Representative pre- and postoperative CT images of case 1. (a) CT scan of case 1, revealing acute subdural hematoma, contusion hemorrhage, and subarachnoid hemorrhage in the right frontotemporal region, with significant mass effect. Wide craniectomy with the removal of hematoma was indicated. (b) A later follow-up CT scan revealed SDG contralateral to DC (arrow), with significant mass effect. (c) Simultaneous cranioplasty (single arrow) and contralateral SP shunting (double arrow) were performed and postoperative CT scan revealed completely resolved SDG and reversed midline shift. (d) A later follow-up CT scan revealed hydrocephalus and VP shunt (single arrow) following SP shunt (double arrow) insertion earlier to eliminate both hydrocephalus and contralateral SDG, respectively.

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