Author(s)

Yang Sun

Corresponding Author

Yang Sun

Abstract

To investigate the clinical features and prevention of acute encephalocele in patients with severe craniocerebral injury. The clinical features, treatment and prognosis of acute encephalocele in severe craniocerebral injury in recent years were analyzed retrospectively, and the prevention and treatment methods of acute encephalocele were discussed. Among the patients with intraoperative encephalocele, 24 cases (55.8%) had delayed intracranial hematoma, including 12 cases of ipsilateral intracranial hematoma, 6 cases of epidural hematoma, 4 cases of contralateral epidural hematoma, and 2 cases of subdural hematoma. And there were 11 cases (25.6%) of acute diffuse brain swelling, also 5 cases (11.6%) of traumatic large area cerebral infarction, as well as 3 cases (6.98%) of intraoperative hypotension or hypoxemia. Patients with acute encephalocele during severe craniocerebral injury surgery are mostly caused by delayed/diffuse intracranial hematoma or large area cerebral infarction, and intraoperative hypoxemia. Therefore, it is necessary to effectively determine the risk of intraoperative encephalocele, actively deal with it, reduce the incidence of acute encephalocele, and improve the prognosis of patients.

Keywords

Severe Craniocerebral Injury, Acute Encephalocele, Clinical Features