20 cases of epidural hematoma after clinical analysis of communicating hydrocephalus.docVIP

 PAGE \* MERGEFORMAT 5 20 cases of epidural hematoma after clinical analysis of communicating hydrocephalus Of: Kim, Dong Jirong, Cai science see, Yu-Hai Wang, Qin Xu Yi [Abstract] Retrospective analysis of 20 cases of epidural hematoma communicating hydrocephalus after clinical data, that the subarachnoid space inflammatory response and the incidence of brain swelling is the main reason, aggressive treatment can reduce its incidence, the prognosis has very important. [Keywords:] hydrocephalus; brain swelling Our hospital from January 2001 ~ January 2008 150 cases of epidural hematoma were treated, including a huge epidural hematoma in 20 cases, after treatment to achieve a satisfactory effect, are as follows. Clinical data 1 General Information of this group 20 cases, male 16, female 4; aged 35 to 71 years, with an average of 52 years. The causes of injury: road traffic injuries in 2 cases, 5 cases of falls, falls injuries in 3 cases, blunt control to combat injuries in 10 cases. admission Glasgow Coma Scale (GCS): 6 ~ 8 points in 5 cases, 3 to 5 minutes in 15 cases there were .20 cases of herniation before surgery, craniotomy epidural hematoma, boneless decompression valve. After review of head CT prompted epidural hematoma clean, brain swelling significantly, ambient cistern, quadrigeminal body pool between the pool and bilateral foot split pool side show unclear. after the 1st lumbar have mild wear that bloody CSF, cerebrospinal fluid after 5 days, red blood cells were lt;50 106 / L, color clear, transparent, non-intracranial infection. confirmed by brain CT 15 to 71 days after the traffic volume of the brain water. 2 the results of 20 patients treated with ventriculoperitoneal shunt were performed, according to intracranial pressure to select a different shunt surgery. After 2 weeks of review of head CT, 16 patients significantly reduced ventricle; consciousness improved significantly in 13 patients (65% ); improvement in 5 cases (25%