Article Sidebar

PDF (Tiếng Việt)
Published: 2023-08-22
Abstract Views: 334
Views PDF (Tiếng Việt): 313
DOI: https://doi.org/10.52852/tcncyh.v168i7.1757
Issue
Vol. 168 No. 7 (2023)
Section
Các bài báo
How to Cite
Mạnh, B. H. ., Huy, P. V. ., Hưng, C. T. ., Cương, B. X. ., Thành, L. P. ., & Sơn, Đồng V. . (2023). 13. Outcomes of decompressive craniectomy procedure for severe traumatic brain injury, evaluate some prospactive factors. Journal of Medical Research, 168(7), 115-123. https://doi.org/10.52852/tcncyh.v168i7.1757

13. Outcomes of decompressive craniectomy procedure for severe traumatic brain injury, evaluate some prospactive factors

Bui Huy Manh, Phan Van Huy, Chu Thanh Hung, Bui Xuan Cuong, Le Phung Thanh, Dong Van Son

Main Article Content

Abstract

Severe traumatic brain injury (TBI) is when clinically the patient has a Glasgow coma score (GCS) from 3 to 8 points. Despite many advances in diagnosis, treatment and understanding of pathogenesis, doctors still face many difficulties to treat the condition. Treatment of severe TBI requires a combination of intensive care unit, medical, surgical, and functional rehabilitation measures, but the morbidity and mortality rates are still very high. We study the results of decompressive craniotomy (DC) for severe TBI on 68 patients, in one center, including 3 months postoperative follow-up. Preoperative clinical diagnosis according to GCS is as follows: 13.2% had GCS of 4 - 5 points, 86.8% had GCS scores of 6 - 8 points. Results after surgery according to Glasgow outcome scale (GOS): 1 - 3 points accounted for 48.53%, good results with GOS 4 - 5 points accounted for 51.47%. Factors that adversely affect the outcome of postoperative treatment are: low Glasgow coma scale (GCS), preoperative pupil dilation, on CT Scanner with midline shift ≥ 10mm, basal cistern effacement signal and Rotterdam score ≥ 5 points.

Article Details

Keywords

Traumatic brain injury, severe traumatic brain injury, decompressive craniotomy

References

1. Brain Trauma Foundation, American Association of Neurological Surgeons, Congress of Neurological Surgeons. Guidelines for the management of severe traumatic brain injury. J Neurotrauma. 2007;24 Suppl 1:S1-106. doi:10.1089/neu.2007.9999
2. Hawryluk GWJ, Rubiano AM, Totten AM, et al. Guidelines for the Management of Severe Traumatic Brain Injury: 2020 Update of the Decompressive Craniectomy Recommendations. Neurosurgery. 2020;87(3): 427-434. doi:10.1093/neuros/nyaa278
3. Nguyễn Văn H. Nghiên cứu dịch tễ học lâm sàng và thái độ điều trị chấn thương sọ não kín do tai nạn giao thông đường bộ tại Bệnh viện Việt Đức năm 2016. Luận văn tốt nghiệp bác sĩ chuyên khoa cấp II, Trường Đại học Y Hà Nội. 2016.
4. Corrigan JD, Selassie AW, Orman JAL. The epidemiology of traumatic brain injury. J Head Trauma Rehabil. 2010;25(2):72-80. doi:10.1097/HTR.0b013e3181ccc8b4
5. Kolias AG, Adams H, Timofeev I, et al. Decompressive craniectomy following traumatic brain injury: developing the evidence base. Br J Neurosurg. 2016;30(2):246-250. doi:10.3109/02688697.2016.1159655
6. Hutchinson PJ, Kolias AG, Timofeev IS, et al. Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension. N Engl J Med. 2016;375(12):1119-1130. doi:10.1056/NEJMoa1605215
7. Charry JD, Falla JD, Ochoa JD, et al. External Validation of the Rotterdam Computed Tomography Score in the Prediction of Mortality in Severe Traumatic Brain Injury. J Neurosci Rural Pract. 2017;8(Suppl 1):S23-S26. doi:10.4103/jnrp.jnrp_434_16
8. Huang YH, Deng YH, Lee TC, et al. Rotterdam computed tomography score as a prognosticator in head-injured patients undergoing decompressive craniectomy. Neurosurgery. 2012;71(1):80-85. doi:10.1227/NEU.0b013e3182517aa1
9. Kung WM, Tsai SH, Chiu WT, et al. Correlation between Glasgow coma score components and survival in patients with traumatic brain injury. Injury. 2011;42(9):940-944. doi:10.1016/j.injury.2010.09.019
10. Nguyễn Đình Hưng. Nghiên cứu đặc điểm lâm sàng, cắt lớp vi tính và kết quả phẫu thuật điều trị chấn thương sọ não nặng. Luận án Tiến sĩ Y học. Học viện Quân Y. 2018.
11. Eberle BM, Schnüriger B, Inaba K, et al. Decompressive craniectomy: surgical control of traumatic intracranial hypertension may improve outcome. Injury. 2010;41(9):894-898. doi:10.1016/j.injury.2010.02.023
12. Murray GD, Butcher I, McHugh GS, et al. Multivariable prognostic analysis in traumatic brain injury: results from the IMPACT study. J Neurotrauma. 2007;24(2):329-337. doi:10.1089/neu.2006.0035
13. Maas AIR, Steyerberg EW, Marmarou A, et al. IMPACT recommendations for improving the design and analysis of clinical trials in moderate to severe traumatic brain injury. Neurother J Am Soc Exp Neurother. 2010;7(1):127-134. doi:10.1016/j.nurt.2009.10.020
14. Kim JJ, Gean AD. Imaging for the diagnosis and management of traumatic brain injury. Neurother J Am Soc Exp Neurother. 2011;8(1):39-53. doi:10.1007/s13311-010-0003-3
15. Lemcke J, Ahmadi S, Meier U. Outcome of patients with severe head injury after decompressive craniectomy. Acta Neurochir Suppl. 2010;106:231-233. doi:10.1007/978-3-211-98811-4_43