Research progress in the pathogenesis, diagnosis and treatment for posttraumatic acute diffuse brain swelling
10.3760/cma.j.cn501098-20220922-00634
- VernacularTitle:创伤性急性弥漫性脑肿胀的发生机制与诊疗研究进展
- Author:
Shilong FU
1
;
Liang XIAN
;
Shousen WANG
Author Information
1. 莆田市第一医院神经外科，莆田 351100
- Keywords:
Craniocerebral trauma;
Intracranial hypertension;
Brain edema;
Diffuse brain swelling
- From:
Chinese Journal of Trauma
2023;39(3):283-288
- CountryChina
- Language:Chinese
-
Abstract:
Posttraumatic acute diffuse brain swelling (PADBS) is a relatively common severe traumatic brain injury (TBI). Since it can lead to acute intracranial hypertension in a short time, the illness can be acute and critical, with a high disability and fatality rate. The pathogenesis of PADBS is still unclear, with the current theory consisting of acute cerebral vasodilation, cerebral edema and intracranial venous circulation disorder. For PADBS, there is still a lack of unified diagnostic criteria, and the indications and timing of decompression craniectomy remain controversial. The authors review the research progress in the pathogenesis, diagnosis and treatment of PADBS, hoping to provide some new ideas for its treatment.
