减压颅骨切除术治疗外伤后颅内高血压的方法:

Marcella Markman de Almeida, Caio Atanasio de Morais Ramos, Camila Catharine Pontes Sanches, Karinne Mendes Santos, Maria Áurea de Andrade Borba, Rayana De Albuquerque Guimarães Pimentel, Cícero Pacheco
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引用次数: 0

摘要

头骨体积恒定,受到小压力漂浮,生理位置在515毫米汞柱之间。外伤性病理,如脑外伤(CET),可能会改变这些值,导致不同的血肿并导致颅内高压(ICH)。本病例报告描述了一名59岁的妇女的病例,她有从自己的高度坠落的病史,意识突然下降,随后出现激动和失去方向感。计算机断层扫描(CT)显示沉积的硬膜下和脑内血肿,中线偏移大于5mm,证明了紧急减压颅骨切除术的合理性。在第一次干预后20天进行颅骨成形术,避免了Trephined综合征及其并发症。
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Craniectomia descompressiva para tratamento de hipertensão intracraniana secundária a trauma com posterior cranioplastia:
The skull has constant volume, being sujected to small pressure flotations, fisiologically situated between 515 mmHg. Traumatic pathologies, such as cranioencephalic trauma (CET) may change those values resulting in diverse haematomas and causing intracranial hypertension (ICH). The present case report describes a case of a 59 year-old-woman with history of fall from her own height and abrupt decrease of conscious followed by agitation and desorientation. The computadorized tomography (CT) showed accute subdural and intracerebral haematoma with midline shift bigger than 5mm, justifying the emergencial decompressive craniectomy. Cranioplasty was then performed 20 days after the first intervention, avoiding thus Syndrome of the Trephined and its complications.
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