Clinical therapy of paradoxical herniation
10.3760/cma.j.issn.1671-8925.2018.10.000
- VernacularTitle:反常性脑疝的临床治疗与分析
- Author:
Bin REN
1
;
Laizhao CHEN
;
Haibo TONG
Author Information
1. 山西大医院神经外科
- Keywords:
Paradoxical herniation;
Decompressive craniectomy;
Cranioplasty
- From:
Chinese Journal of Neuromedicine
2018;17(10):1048-1050
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the treatment of paradoxical herniation after bone flap decompression surgery,and improve people's understanding of paradoxical herniation.Methods From April 2014 to July 2017,the clinical data of 12 patients with paradoxical herniation were retrospectively analyzed.The treatment efficacies of position adjusting,sufficient hydration,and cranioplasty were explored.Results Nine patients (75％) had paradoxical herniation within two weeks of surgery,two(16.67％) developed paradoxical herniation from two weeks to one month of surgery,and one (8.33％) developed paradoxical herniation at two months after operation.But no all the patients had sunken and collapsed skin flap.After position adjusting,sufficient hydration,and cranioplasty,12 patients had periodic improvement;the neurological function of 9 patients accepted cranioplasty recovered obviously.Conclusion Paradoxical herniation is reversible after effective treatments,as position adjusting,sufficient hydration,and cranioplasty,enjoying good results.
