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A subdural hygroma (SDG) is a collection of cerebrospinal fluid (CSF), without blood, located under the dural membrane of the brain. Most subdural hygromas are believed to be derived from chronic subdural hematomas. They are commonly seen in elderly people after minor trauma, but can also be seen in children following infection or trauma.
Knee joint of dog. Piece showing knee joint of dog. An untreated hygroma can develop into a large swelling that stresses the surrounding skin and becomes an open wound with the possibility of infection that is much more difficult to treat. In most cases, a hygroma is a single occurrence for an animal, but other individuals will have repeated ...
In chronic subdural hematomas, blood accumulates in the dural space as a result of damage to the dural border cells. [16] The resulting inflammation leads to new membrane formation through fibrosis and produces fragile and leaky blood vessels through angiogenesis , permitting the leakage of red blood cells , white blood cells , and plasma into ...
Subdural hemorrhage (SDH) results from tearing of the bridging veins in the subdural space between the dura and arachnoid mater. It can cross the suture lines, but not across dural reflections such as falx cerebri or tentorium cerebelli. [4] Therefore, subdural hematoma always limited to one side of the brain. [3]
The treatment of cerebral edema depends on the cause and includes monitoring of the person's airway and intracranial pressure, proper positioning, controlled hyperventilation, medications, fluid management, steroids. [3] [7] [8] Extensive cerebral edema can also be treated surgically with a decompressive craniectomy. [7]
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Though treatment of the different chronic wound types varies slightly, appropriate treatment seeks to address the problems at the root of chronic wounds, including ischemia, bacterial load, and imbalance of proteases. [14] Periwound skin issues should be assessed and their abatement included in a proposed treatment plan. [17]
This is how I thought at that time. Everything was one second to the next. I truly couldn’t conceive of tomorrow. Things were just happening, and they were either good or bad, and I wanted to get away from the bad things and find the good things; or, if there were no good things to find, kill myself to get away altogether.