Clinical analysis on high coronary craniotomy for bilateral decompressive craniectomy in the patients with central brain herniation
10.3760/cma.j.issn.1673-4904.2014.23.007
- VernacularTitle:高冠状开颅双侧均衡减压治疗脑中心疝的临床分析
- Author:
Jie WU
;
Junting LIN
- Publication Type:Journal Article
- Keywords:
Encephalocele;
Craniocerebral trauma;
High coronary craniotomy
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(23):18-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical characteristics of the patients with central brain herniation,and the operation effect of high coronary craniotomy for bilateral decompressive craniectomy.Methods A retrospective analysis was conducted on 26 cases of central brain herniation.The effectiveness of high coronary craniotomy for bilateral decompressive craniectomy and the influential factor of prognosis in patients with central brain herniation were analyzed.Results According to the Glasgow outcome score (GOS) 6 months after operation,5 cases were recovered well,6 cases moderately disabled,4 cases severely disabled,3 cases vegetative survived and 8 cases died.Conclusions High coronary craniotomy and timely and effective bilateral decompressive craniectomy are the most important treatment in patients with central brain herniation.The prognosis is unfavourable prognosis in patients with central brain herniation within 1 h after injury and older than 75 years old.
