Craniotomy for treatment of simple transverse sinus ride across 48 cases of epidural hematoma.docVIP

 PAGE \* MERGEFORMAT 10 Craniotomy for treatment of simple transverse sinus ride across 48 cases of epidural hematoma [Abstract] Objective To analyze the simple transverse sinus and epidural hematoma straddling the clinical characteristics, treatment methods and efficacy. Methods 48 cases of simple transverse sinus, epidural hematoma straddling the clinical data, the clinical features, the use of horseshoe-shaped incision posterior / occipital barb + cross-shaped incision transverse sinus craniotomy to remove the rear back flap hematoma. All the cases reviewed after the first line of CT. The results of preoperative intracranial hypertension as the main clinical symptoms, all patients were CT diagnosis. intraoperative linear fracture of the occipital see 38 patients, hematoma volume of 5 ~ 46 mL, mean (21 + -4) mL, bleeding from the transverse sinus in 8 cases, the fracture line at the plate barrier bleeding in 24 cases, meningeal vascular permeability blood in 4 cases, no active bleeding point in 12. 1,3 days after the first CT scan showed hematoma disappeared, no bone displacement. All the patients recovered well. Conclusion straddling the transverse sinus lack of typical epidural hematoma clinical features, the rapid development of intracranial hypertension are prone to cause herniation, be combined with CT examination to confirm the diagnosis. craniotomy to remove the blood more effectively and avoid the skull defect, the lifting of oppression transverse sinus, to avoid the fatal brain herniation. [Keywords:] transverse sinus; epidural hematoma; surgery Straddling the transverse sinus traumatic epidural hematoma is a special type of intracranial hematoma, traumatic hematoma in the brain is less common, the clinical manifestations of early general not obvious, especially simple epidural hematoma, are unlikely to cause attention, but the disease can often be rapidly deteriorating, causing a sharp rise in intracranial pressure Erzhi foramen magnum hern