Clinical study on operative effect of traumatic cerebral herniation with bilateral mydriasis
- VernacularTitle:双侧瞳孔散大的外伤性脑疝手术疗效分析
- Author:
Xiao-Ming GUO
;
An-Min LI
;
Zhi-Wen ZHANG
;
Xiang-Ping FU
;
Wei-Guang ZHA
;
Run-Min YAN
;
Ai-Jun LIU
;
Cheng-gang DU
;
lin-hua YI
;
Shu-li LIANG
;
Ming ZHAO
- Publication Type:Journal Article
- Keywords:
Brain injuries;
Mydriasis;
Cerebral herniation;
Surgical procedures,operative;
Prognosis
- From:
Chinese Journal of Trauma
1993;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the surgical effect to traumatic tentorial herniation with bilater- al mydriasis.Methods The patients were divided into three groups,ie,epidural hematoma group,a- cute diffuse brain swelling group and cerebral contusion and/or subdural hematoma group,to perform clinical outcome analysis.Half year after operation,the neurological outcome was scored according to the Glasgow Outcome Scale.Results Of all,there were three cases with good recovery,10 with moderate disability,nine with severe disability and 10 with vegetative survival but 35 deaths.The outcome was the best in epidural hemotoma group but the poorest in acute diffuse brain swelling group.Conclusions The operative effect of traumatic cerebral herniation with bilateral mydriasis is related with the type of orig- inal injury that is important for selection of operation.Patients with cerebral herniation caused by epidural hematoma should receive immediate operation that will induce better outcome.The operation is not vital for those with cerebral herniation caused by acute diffuse brain swelling.Emergent surgery can save lives of some patients with cerebral contusion and/or subdural hematoma.Rapid diagnosis,correct operation and perioperative treatment may ensure the success of surgery.
