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Chinese Journal of Neurotraumatic Surgery(Electronic Edition) ›› 2017, Vol. 03 ›› Issue (01): 30-32. doi: 10.3877/cma.j.issn.2095-9141.2017.01.008

Special Issue:

• Clinical Research • Previous Articles     Next Articles

Clinical analysis of contrecoup contusion and laceration in bilateral frontal lobe with brain central hernia

Efeng Chen1,(), Ming Luo1, Hui Qian1, Huawei Chen1, Chenjun Sun1, Yuejiang Zhang1   

  1. 1. Department of Neurosurgery, Shaoxing Hospital of China Medical University, Shaoxing 312030, China
  • Received:2016-12-15 Online:2017-02-15 Published:2017-02-15
  • Contact: Efeng Chen
  • About author:
    Corresponding author: Chen Efeng, Email:

Abstract:

Objective

To investigate the clinical characteristics, surgical timing and methods of contrecoup contusion and laceration in bilateral frontal lobe with brain central hernia.

Methods

The clinical features, imaging features, surgical methods and therapeutic effects of 31 cases of patients with contrecoup contusion and laceration in bilateral frontal lobe with brain central hernia treated in department of neurosurgery, Shaoxing hospital of China Medical University from January 2011 to May 2015 were analyzed retrospectively.

Results

After 1 year follow-up, according to the GOS score, 24 cases were recovered well, accounting for 77.42%; severe disability in 5 cases, accounting for 16.13%; 2 cases of death, accounting for 6.45%.

Conclusion

According to the volume of hematoma, the extent of the brain tissue and peripheral edema displayed by CT to calculate the volume of the occupied volume, surgical treatment taken actively when the angle of the lateral ventricle is greater than 120 degrees or the consciousness is progressive lossing, timely removal of intracranial hematoma and contusion of the brain tissue, to remove the brain compression, is the key to treatment of this type of brain injury.

Key words: Contre-coup, Contusion and laceration of brain, Brain central hernia

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