Diagnosis and treatment of contrecoup contusion and laceration in frontal lobe

VernacularTitle:对冲性前额叶挫裂伤诊治策略
Author: Yu CHEN ; Runlong LAI ; Yong LI
Publication Type:Journal Article
Keywords: Frontal lobe; Contusion and laceration; Diffuse brain swelling; Delayed extradural hematoma; Surgical therapy
From: Chinese Journal of Primary Medicine and Pharmacy 2010;17(14):1915-1916
CountryChina
Language:Chinese
Abstract: Objective To discuss the clinical characteristics and therapeutic strategy of contrecoup contusion and laceration in frontal lobe. Methods 48 cases with contrecoup contusion and laceration in frontal lobe were analysed retrospectively with their imaging feature. Results In accordance with the GOS,36 cases survived well, 8 suffered from moderate disability. One keept in persistent vegetative state and one was dead. Conclusion Contrecoup contusion and laceration in frontal lobe merged with occipital extradural hematoma and diffuse brain swelling. Early diagnosis and treatment for the delayed occipital extradural hematoma, and standard large trauma craniotomy in treatment of heavy contrecoup contusion and laceration with diffuse brain swelling in frontal lobe were the key measures to improve the rate of success rescue.