Lateral fissure subduraltemporal muscle cell communication and patching in the treatment of refractory subdural effusion.docVIP

 PAGE \* MERGEFORMAT 5 Lateral fissure subduraltemporal muscle cell communication and patching in the treatment of refractory subdural effusion OF: Ming Jiang Chang Hui that both parties are Zhangdao Bing [Abstract] 12 patients with refractory temporal subdural effusion subdural approach for communication and sylvian pool patching in the treatment of temporal muscle, which will help the circulation and absorption of fluid to lift footprint, improve local brain tissue microcirculation and nutrition, to achieve the fundamental cause of treatment. [Keywords:] effusion surgery Brain Injury Traumatic brain injury with subdural effusion is a common, frequently-occurring disease, including refractory subdural effusion often occurred in patients with brain atrophy [1], drilling tube drainage often fails, prolonged course, there are a few can be transformed into chronic subdural hematoma, treatment is very difficult. our hospital using the temporal approach, lateral fissure subdural temporal muscle cell communication and patching technique, one-time cure for intractable subdural effusion in 12 cases, no adverse complications, are as follows. Clinical data 1 General information The 12 cases, 9 cases of men and 3 women, aged 57 to 78 years, mean 61 years old. Where acute brain injury and 4 cases (injuries 3 days, 8 cases of chronic (injurygt; = 4 days. clinical manifestations were headache, lethargy, vomiting, irritability occur in some patients, very few appear motor and sensory dysfunction. effusion head CT or MRI examination about the 80 ~ 130ml, an average of about 95ml, the side of the frontotemporal top of the 8 cases, 4 cases of bilateral frontotemporal top, have suffered lateral compression, midline shift to varying degrees. conventional hole drainage in 5 cases 1 week after the head CT review the most fluid there, closed tube preoperative symptoms still exist. 2 surgical methods with tracheal intubation, pterional, curved incision, about 7cm