Objective
To investigate the experience of continuous intracranial pressure monitoring in the treatment of patient with frontal lobe contusions.
Methods
The patients were selected from April 2011 to October 2014 in the Second Hospital of Shandong University treated as brain contusion in frontal lobe. The clinical data of 13 patients with frontal lobe contusions were retrospectively analyzed. All patients accepted conservative treatment or operation treatment, and continuous intracranial pressure (ICP) monitoring, the prognosis of the patients were evaluated by Glasgow Outcome Scale.
Results
Four patients passed the brain edema peak period and recovered completely. Nine patients accepted removal of contusion operation and decompressive craniectomy.All patients were followed-up for 6 months. seven patients obtained good recovery (53.8%), 1 patient was mild disability (7.7%), 3 patients were severe disability (23.1%), and 2 patients died (15.4%).
Conclusions
The disease course of frontal lobe contusions had the characteristics of better conscious condition, abrupt deterioration, and prolonged brain edema duration. The intracranial pressure monitoring could insure the security of conservative treatment, and once the condition deteriorated, it could detect the brain herniation in advance, so the decompressive craniotomy would be carried out accordingly, the patient could havea better outcome.