Large decompressive craniectomy for patients with severe traumafic brain injury combined with herniation of brain

VernacularTitle:大骨瓣开颅个体化减压术治疗重型颅脑损伤脑疝患者的效果观察
Author: Jinzhong HUANG ; Yasong LI ; Xuezhu HUANG
Publication Type:Journal Article
Keywords: Craniocerebral teauma; Large decompressive craniectomy; Prognosis
From: Clinical Medicine of China 2012;28(10):1084-1086
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical outcome of large decompressive craniectomy in treatment of severe traumatic brain injury combined with herniation of brain.Methods A retrospective analysis was carried out to assess the clinical outcome of large decompressive craniectomy for 98 patients with severe traumatic brain injury combined with herniation of brain enrolled from Jan.2007 to Sep.2010.Results According to the Glasgow outcome scale,there were 27 patients ( GOS 5 points) with good recovery,23 ( GOS 4 points) with moderate deficit,28 (GOS 3 points) with severe deficit,6 (GOS 2 points) under persistent vegetative status and 14 (GOS1 points) deaths at the end of 6 month post injury.We observed a good prognosis rate (good recovery and moderate deficit) of 51％ and a poor prognosis of 49％.Conclusion Large decompressive craniectomy can significanty improve the outcome and reduce complications of patients with severe traumatic brain injury combined with herniation of brain.