Effect of decompressive craniectomy for elderly patients with severe traumatical brain injury

doi:10.3877/cma.j.issn.2095-9141.2018.05.011

Abstract

Abstract:

Objective

To investigate the effect of decompressive craniectomy (DC) for elderly patients with severe traumatical brain injury (sTBI).

Methods

To retrospectively analyze the clinical data of 112 elderly patients with sTBI who were treated with DC from Department of Cerebral Surgery, Affiliated Hospital of Shaanxi University of TCM from January 2009 to January 2016. Followed up for 6 months, the main complications were observed, statistical prognosis based on GOS score.

Results

In this group of 112 patients, postoperative delayed intracranial hematoma occurred in 22 cases (19.6%), subdural effusion in 31 cases (27.7%), hydrocephalus in 26 cases (23.2%), encephalocele in 18 cases (16.1%), intracranial infection in 4 cases (3.6%); good prognosis in 26 cases (23.2%), poor prognosis in 86 cases (76.8%), of which 63 cases died (56.3%).

Conclusion

The mortality of the elderly sTBI patients is high and the complications are much after DC. It is necessary to observe the condition closely in the early stage after injury, and actively prevent the postoperative complications in order to reduce the mortality and improve the prognosis.

Key words: Severe traumatical brain injury, Decompressive craniectomy, Elderly patients

Luning Bai, Zhenguo Zhou, Yi Zhang, Zunhua Ke, Tao Chang, Xiaoping Zhao. Effect of decompressive craniectomy for elderly patients with severe traumatical brain injury[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2018, 04(05): 301-303.

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