Management of increased intracranial pressure caused by temporal muscle swelling after decompressive craniectomy in patients with sereve traumatic brain injury

VernacularTitle:重型颅脑损伤去骨瓣减压术后颞肌肿胀致颅内压增高的治疗
Author: Huaping QIN ¹ ; Wei GUAN ; Changchun YANG ; Tao MA ; Yimin SHI ; Jianjun ZHOU ; Yilin YANG
Author Information

1. 苏州大学附属第三医院神经外科
Keywords: Craniocerebral injury; Decompressive craniectomy; Temporal musle swelling; Intracranial hypertension
From: Chinese Journal of Neuromedicine 2015;14(9):955-957
CountryChina
Language:Chinese
Abstract: Objective To explore the diagnosis and treatment of increased intracranial pressure caused by temporal muscle swelling after decompressive craniectomy in patients with severe traumatic brain injury.Methods A retrospective analysis was performed on 46 patients with increased intracranial pressure caused by temporal muscle swelling after decompressive craniectomy,admitted to our hospital from January 2004 and January 2012.Among them,22 were treated with conservative therapy,and the other 24 were treated with operative therapy.Results Based on Glascow Outcome Scale scores,23 recovered well,12 had moderate disability,8 had severe disability,3 were at vegetative state and no death was noted.Conclusions Temporal muscle swelling after decompressive craniectomy may cause secondary increased intracranial pressure,and this will lead a negative effect on recovery of patients with severe traumatic brain injury.Early prophylaxis,early diagnosis and early treatment are necessary for these patients.