Recent advance in cisternostomy in treatment of severe traumatic brain injury
10.3760/cma.j.cn115354-20201028-00852
- VernacularTitle:脑池造瘘术治疗重型颅脑损伤的研究进展
- Author:
Jiajun PENG
1
;
Haibo TONG
;
Zhenyang LIU
Author Information
1. 山西医科大学第三临床医院神经外科，太原 030032
- Keywords:
Cisternostomy;
Severe traumatic brain injury;
Intracranial pressure;
Glyymphatic system
- From:
Chinese Journal of Neuromedicine
2021;20(6):644-648
- CountryChina
- Language:Chinese
-
Abstract:
At present, the most commonly used surgical measures for treatment of severe traumatic brain injury (sTBI) mainly include external ventricular puncture and drainage (EVD), decompressive craniectomy (DC), intracranial hematoma clearance and intracerebral decompression of contusion and laceration. All of these procedures can reduce intracranial pressure (ICP) and mortality, but they have the disadvantage of high postoperative adverse functional outcomes. With further study of glyymphatic system and intracranial microsurgery, some scholars have proposed a new neurosurgical technique: cisternostomy, which could achieve good results in the treatment of some refractory intracranial hypertension patients with sTBI. In this paper, we will summarize the recent advance in cisternostomy in the treatment of sTBI by reviewing the relevant literature at domestic and abroad in recent years, including the systematic evaluation of its pathophysiological basis, surgical techniques, surgical indications and contraindications, and surgical efficacy.
