Basal cisternostomy for traumatic brain injury: A case report of unexpected good recovery.
10.1016/j.cjtee.2021.12.008
- VernacularTitle:Basal cisternostomy for traumatic brain injury: A case report of unexpected good recovery
- Author:
Manuel De Jesus ENCARNACION RAMIREZ
1
;
Rossi Evelyn BARRIENTOS CASTILLO
1
;
Anton VOROBIEV
2
;
Nikita KISELEV
2
;
Amaya Alvarez AQUINO
3
;
Ibrahim E EFE
4
Author Information
1. Department of Neurosurgery, Russian People's Friendship University, Moscow, Russia.
2. Department of Neurosurgery, Municipal Hospital, Podolsk, Russia.
3. Department of Neurosurgery, International Center for Neurological Restoration, Havana, Cuba.
4. Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, And Berlin Institute of Health, Berlin, Germany. Electronic address: ibrahim.efe@charite.de.
- Publication Type:Case Reports
- Keywords:
Basal cisternostomy;
Cerebral edema;
Decompressive craniectomy;
Neurotrauma;
Traumatic brain injury
- MeSH:
Adult;
Brain;
Brain Edema;
Brain Injuries, Traumatic/surgery*;
Decompressive Craniectomy/methods*;
Glasgow Coma Scale;
Humans;
Male;
Treatment Outcome
- From:
Chinese Journal of Traumatology
2022;25(5):302-305
- CountryChina
- Language:English
-
Abstract:
In subarachnoid hemorrhage following traumatic brain injury (TBI), the high intracisternal pressure drives the cerebrospinal fluid into the brain parenchyma, causing cerebral edema. Basal cisternostomy involves opening the basal cisterns to atmospheric pressure and draining cerebrospinal fluid in an attempt to reverse the edema. We describe a case of basal cisternostomy combined with decompressive craniectomy. A 35-year-old man with severe TBI following a road vehicle accident presented with acute subdural hematoma, Glasgow coma scale score of 6, fixed pupils and no corneal response. Opening of the basal cisterns and placement of a temporary cisternal drain led to immediate relaxation of the brain. The patient had a Glasgow coma scale score of 15 on postoperative day 6 and was discharged on day 10. We think basal cisternostomy is a feasible and effective procedure that should be considered in the management of TBI.
