Open AccessJournal Article
Comparison of standard large trauma craniotomy with routine craniotormy in treatment of acute subdural hematoma.
TLDR
Standard large trauma craniotomy can attenuate brain hernia and the mortality of the patients with acute subdural hematoma and the incidence of complication can also be decreased, but the long term life quality of the Patients can not be improved.Abstract:
Objective: To compare the therapeutic effect and indication between standard large trauma craniotomy and routine craniotomy Methods: There were 97 patients in the standard large trauma craniotomy group and 110 patients in the routine craniotomy group The mortality, postoperative ICP (intracranial pressure), ratio of pupil rebound, complication and results of six month follow up after operation were compared between the two groups Results: Fifteen patients ( 156 %) died in the standard large trauma craniotomy group and 30 ( 277 %) in the routine craniotomy group The postoperative mean ICP was 375 kPa±189 kPa in the standard large trauma craniotomy group and 511 kPa±157 kPa in the routine craniotomy group The pupil rebound was found in 47 patients ( 610 %) in the standard large trauma craniotomy group and in 41 patients ( 461 %) in the routine craniotomy group (P 001 ) The rate of complication was lower in the standard large trauma craniotomy group, but no obvious difference in long term therapeutic effect was found between the two groups Conclusions: Standard large trauma craniotomy can attenuate brain hernia and the mortality of the patients with acute subdural hematoma The incidence of complication can also be decreased But the long term life quality of the patients can not be improvedread more
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Clinical observation of Danhong Injection (herbal TCM product from Radix Salviae miltiorrhizae and Flos Carthami tinctorii) in the treatment of traumatic intracranial hematoma.
TL;DR: Danhong Injection, a Chinese Materia Medica standardized product extracted from Radix Salviae Miltiorrhizae and Flos Carthami tinctorii, has the actions of promoting blood circulation and resolving stasis to promote regeneration.
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Technical considerations in decompressive craniectomy in the treatment of traumatic brain injury.
Xiaodan Huang,L. Wen +1 more
TL;DR: Technical improvements in large decompressive craniectomy are reviewed, which is currently recommended by most authors and is aimed at increasing the decompressive effect, avoiding surgical complications, and facilitating subsequent management.
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Subdural hygroma following decompressive craniectomy or non-decompressive craniectomy in patients with traumatic brain injury: Clinical features and risk factors
TL;DR: Investigating the incidence and risk factors for different types of SDG in a large cohort of patients with traumatic brain injury found that factors independently associated with the development of contralateral SDG were male sex, basal cistern haemorrhage, older age and diffuse injury and swelling.
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Subdural effusion secondary to decompressive craniectomy in patients with severe traumatic brain injury.
TL;DR: The excessive dehydration of a patient who was transferred to a hospital 2 months after surgical decompression for severe head trauma was believed to be an important reason for the development of subdural effusion.
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A clinical study on the effects and mechanism of Xuebijing injection in the treatment of traumatic intracranial hematoma
TL;DR: The results suggest that XBJ exerts significant neuroprotective effects to the recovery of patients with TICH safely, which may be likely through the coagulation improvement and antioxidation and antilipid peroxidative properties of its action.