Application of bilateral craniotomy method in the acute encephalocele during severe head injury
10.3760/cma.j.issn.1673-4203.2009.12.014
- VernacularTitle:双侧开颅在重型颅脑损伤术中急性脑膨出的应用
- Author:
Jianguo QI
;
Tao LIU
;
Helin ZHANG
;
Shenghua LIU
- Publication Type:Journal Article
- Keywords:
head injury;
neurusurgery;
cerebral edema;
encephalocele
- From:
International Journal of Surgery
2009;36(12):826-829
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the reasons and the best treatment of the encephalocele during severe head injury. Method Retrospective analysis 26 cases of the clinical data of patients with acute encephalo-cele during severe head injury used bilateral craniotomy method. Result Good recovery in 4 patients, mod-erate disability in 5 patients, severe disability in 2 patients, vegetative state in 3 patients, death in 12 pa-tients. Conclusion Delayed intracranial hematoma and acute diffuse brain swelling are the main reasons of craniotomy brain injury in acute encephalocele, and using bilateral craniotomy can significantly increase the survival rate and quality of life.