Endoscopy-assisted cerebral falx incision via unilateral approach for treatment of dissymmetric bilateral frontal contusion

• Published in: Chinese journal of traumatology Vol. 15; no. 2; pp. 92 - 95
• Main Authors: Dong, Ji-Rong, Xu, Qin-Yi, Cai, Xue-Jian, Wang, Biao, Wang, Yu-Hai, Shi, Zhong-Hua, Liu, Bing, Cai, Sang, He, Jian-Qing, Hu, Xu
• Format: Journal Article
• Language: English
• Published: China Elsevier B.V 01.04.2012; Neurosurgical Department, the 101st Hospital of PLA, Rescue Center of Craniocerebral Injuries of PLA, Wuxi 214044, Jiangsu Province, China
• Subjects: Brain Injuries; Contusions; Dura Mater; Endoscopy; Humans; Intracranial hemorrage; minimally invasive; Surgically procedures; traumatic; Treatment Outcome; 不对称; 内镜; 切口; 大脑; 手术治疗; 挫伤; 辅助治疗; 额叶; traumatic; Surgically procedures; Endoscopy; minimally invasive; Brain injuries; Intracranial hemorrage; Surgically procedures,minimally invasive; Intracranial hemorrage,traumatic
• ISSN: 1008-1275
• DOI: 10.3760/cma.j.issn.1008-1275.2012.02.005

Objective： To investigate the clinical features and treatment strategy of dissymmetric bilateral frontal contusion, and to summarize our experience in treating these patients by minimally invasive surgery. Methods： Over the past 3 years, we have treated a total of 31 patients with dissymmetric bilateral frontal contusion using endoscopy-assisted unilateral cerebral falx incision. ~ ~ther 30 patients treated by routine bilateral approaches within the same period were taken as control. Results： Seventeen cases （54.8%） in the unilateral operation group survived and were in good condition, 8 （25.8%） had moderate disability, 4 （12.9%） had severe disability, 1 （3.2%） was in vegetative state, and 1 （3.2%） died. Compared with the control group, the Glasgow Out- come Scale score was not significantly different in the uni-lateral operation group, but the operation time, blood trans- fusion volume, the length of hospital stay, the incidences of mental disorder and olfactory nerve injury were greatly reduced in the unilateral operation group. Conclusions： Endoscopy-assisted unilateral cerebral falx incision can shorten the operation time, reduce surgical trauma and complications in treatment of patients with dissymmetric bilateral frontal contusion. It can obviously diminish the chance of delayed intracerebral hematoma and subsequently minimize the incidences of subfalcial and centrencephalic herniation.