The Experts below are selected from a list of 258 Experts worldwide ranked by ideXlab platform
Zhao Xuejun - One of the best experts on this subject based on the ideXlab platform.
-
treatment strategies for Brain Hernia combined with hemorrhagic shock following severe traumatic Brain injury
Journal of Chongqing Medical University, 2013Co-Authors: Zhao XuejunAbstract:Objective:To explore emergency treatment strategies for patients with Brain Hernia combined with hemorrhagic shock after severe traumatic Brain injury and to discuss their effects on prognosis.Methods:A retrospective analysis was made on 32 patients(observation group)with Brain Hernia combined with hemorrhagic shock treated by selective strategies on the basis of integrative strategies from September 2009 to April 2011;another 22 patients(control group)with the same injuries were treated by routine strategies. Mortality within one week and glasgow outcome score(GOS)at six months after injury were compared between two groups.Results: Mortality rate was 34.4%(11/32)in observation group and 45.5%(10/22)in control group two weeks later(P 0.05).GOS disability rating(Ⅰ,Ⅱ level)were higher in observation group than in control group at six months after injury;GOS disability rating(Ⅲ,Ⅴ level)were lower in observation group than in control group at six months after injury(χ 2 =4.909,P=0.027).Conclusions:Early selective strategies based on degree of shock combined with integrative strategies may obtain better outcome for patients with Brain Hernia combined with hemorrhagic shock after severe Brain injury.
Liu Y - One of the best experts on this subject based on the ideXlab platform.
-
Brain Hernia time hypertension shell nucleus hemorrhage surgical treatment
Sichuan Medical Journal, 2010Co-Authors: Liu YAbstract:Objective To summarize and to explore the period of hypertensive cerebral hemorrhage cerebral Hernia surgical methods and efficacy.Methods Retrospective analysis of 38 cases of bleeding have occurred in patients with hypertensive cerebral Hernia using cranial hematoma,decompressive craniectomy after the surgical treatment,concluding judge its efficacy.Results Of tentorial Herniation in 29 cases,postoperative survival in 25 cases,accounting for 86%,the foramen magnum Herniation in 9 cases survived for 2 cases accounted for 22%.Conclusion Hernia hypertensive putamen hemorrhage period,if not enter the foramen magunm Herniation period,surgical treatment should be positive,but occurs after the foramen magnum Herniation,then be selective surgery.
L I Youfu - One of the best experts on this subject based on the ideXlab platform.
-
clinical outcomes of 84 cases of traumatic Brain Hernia
Journal of Traumatic Surgery, 2012Co-Authors: L I YoufuAbstract:Objective To investigate the relationship between cerebral Hernia following craniocerebral injury and prognosis,and to summarize the effects and experience of surgery in the Brain Hernia patients.Methods Data of 84 traumatic Brain Hernia patients hospitalized in our department from Jan.2008 to Dec.2011 were analyzed.There were 56 males and 28 females;age ranged from 6-88 years,with an average of 42.7 years.Five patients were less than 18 years old,57 patients 18-60 years old,and 22 patients more than 60 years old.The injury causes analysis indicated 31 cases of road accident injury,36 cases of falling injury,17 cases of other injury.Preoperative Glasgow Coma Scale(GCS) indicated score ranging from 3-7,including 28 cases of 6-7 scores,37 cases of 4-5 scores,19 cases of 3 scores.During pre-operation,uni-lateral mydriasis was found in 62 cases,bi-lateral mydriasis in 22 cases.The diagnosis was based on clinical and imaging manifestations,emergency protocols were developed,protocols were optimized and improved decompressive-craniectomy was then performed.After surgery,all patients were treated by the combined therapy of intra-cranial pressure monitor and mild hypothermia therapy.Results Totally 28 cases achieved good recovery(33.33%),24 cases(28.57%) mild disability,14 cases severe disability or plant survival(16.67%),18 cases deaths(21.43%).Posterior cerebral artery infarction occurred in 11 cases.Better effect could be achieved when surgical decompression was performed for cerebral Hernia patients with higher GCS score,resulting in better prognosis.Conclusion In order to reduce the patient's death and disability,traumatic Brain Hernia patients should be operated immediately and be effective monitoring performed after surgery treatment.
Ch. Probst - One of the best experts on this subject based on the ideXlab platform.
-
Neurosurgical treatment of traumatic frontobasal CSF fistulae in 300 patients (1967-1989).
Acta neurochirurgica, 1990Co-Authors: Ch. ProbstAbstract:300 patients with traumatic fronto-basal CSF fistulae were treated neurosurgically from 1967 to 1989, i.e. via a transcranial approach. An additional intracranial space occupying lesion, a direct open endocranium and/or a large basal Brain Hernia was found in 68%. The following aspects were discussed: progress in establishing the exact anatomical diagnosis, especially neuroradiological advances; questions of the indication for surgery; the problem of the optimal surgical approach. Both the cranial and the rhinological approach have advantages and disadvantages. Their indications only partly coincide, so that the choice of method depends especially on the individual pathology. Advances were made in recent years in terms of neurosurgery as well as of rhinology. The neurosurgical results could be improved, and postoperative complications have become rare after the cranial approach. Besides the optimal choice of the time of operation, the following factors are important: an adequate intracranial debridement; a microsurgical technique entailing as little damage to surrounding tissue as possible and various specially mentioned Brain-protective measures. An optimal collaboration between the specialties involved is the basis for further progress. More attention must be paid to endocrinological problems in the future.
-
Neurosurgical treatment of traumatic frontobasal CSF fistulae in 300 patients (1967–1989)
Acta Neurochirurgica, 1990Co-Authors: Ch. ProbstAbstract:300 patients with traumatic fronto-basal CSF fistulae were treated neurosurgically from 1967 to 1989, i.e. via a transcranial approach. An additional intracranial space occupying lesion, a direct open endocranium and/or a large basal Brain Hernia was found in 68%. The following aspects were discussed: progress in establishing the exact anatomical diagnosis, especially neuroradiological advances questions of the indication for surgery the problem of the optimal surgical approach.
-
Neurosurgical treatment of traumatic frontobasal CSF fistulae in 300 patients (1967–1989)
Acta Neurochirurgica, 1990Co-Authors: Ch. ProbstAbstract:300 patients with traumatic fronto-basal CSF fistulae were treated neurosurgically from 1967 to 1989, i.e. via a transcranial approach. An additional intracranial space occupying lesion, a direct open endocranium and/or a large basal Brain Hernia was found in 68%. The following aspects were discussed: progress in establishing the exact anatomical diagnosis, especially neuroradiological advances questions of the indication for surgery the problem of the optimal surgical approach. Both the cranial and the rhinological approach have advantages and disadvantages. Their indications only partly coincide, so that the choice of method depends especially on the individual pathology. Advances were made in recent yeras in terms of neurosurgery as well as of rhinology. The neurosurgical results could be improved, and postoperative complications have become rare after the cranial approach. Besides the optimal choice of the time of operation, the following factors are important: an adequate intracranial debridement a microsurgical technique entailing as little damage to surrounding tissue as possible and various specially mentioned Brain-protective measures. An optimal collaboration between the specialties involved is the basis for further progress. More attention must be paid to endocrinological problems in the future.
Lin Mengqiang - One of the best experts on this subject based on the ideXlab platform.
-
perioperative application of large dose of mannitol and methylprednisolone for severe cerebral contusion and laceration combined with Brain Hernia patients
Chinese Journal of General Practice, 2013Co-Authors: Lin MengqiangAbstract:Objective To explore the therapeutic efficacy of perioperative large dose of mannitol and methylprednisolone on the control of intracranial pressure in severe cerebral contusion and laceration combined with Brain Hernia patients undergoing a large decompressive craniotomy(large bone flaps).Methods Thirty five patients with severe cerebral contusion and laceration combined Brain Hernia early received 20% mannitol 250-375 ml fast IV drip,followed by normal saline 100 ml + methylprednisolone 500 mg IV drip immediately,again 20% mannitol 250 ml fast IV drip(observation group).The first two application of mannitol was finished in 2 to 3 hours.The second IV drip of mannitol was perioperative used half an hour before the dural incision.Another 35 cases receiving 20% mannitol 250 ml fast IV drip were selected as control(control gorup).The therapeutic efficacy was compared between the two groups.Results In the observation group,the intracranial pressure was out of control only in 1 old patient due to malignant Brain swelling,other cases got a well perioperative control in the intracranial pressure and prepared a good condition for the surgery.The routine perioperative fluid supplementation was performed to maintain effective circulation.The monitoring for kidney function did not find an acute renal failure case.The effect in the observation group was obviously superior to the control group,and the difference was significant.(P 0.01).Conclusion The perioperative large dose of mannitol and methylprednisolone for severe cerebral contusion and laceration merger Brain Hernia patients can effectively control the cranial pressure,create the timing of surgery,and avoid the occurrence of acute renal failure.
