Pre-hernia Intervention for Cascade Cerebral Hernia Caused by Supratentorial Traumatic Acute Subdural Hematoma

Zhang Pan; Zhang Yan Ping

doi:doi:10.11648/j.ijn.20230701.13

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Pre-hernia Intervention for Cascade Cerebral Hernia Caused by Supratentorial Traumatic Acute Subdural Hematoma

Zhang Pan, Zhang Yan Ping

Published in International Journal of Neurosurgery (Volume 7, Issue 1)

Received: 17 April 2023 Accepted: 9 May 2023 Published: 22 May 2023

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Abstract

Subjecte To investigated the characteristics and diagnosis and treatment which were pre-hernia intervention of cascade hernia. Reduce rate of mortality and disability that is attention must be paid to prehospital intervention before the formation of a true cascade of brain herniation. clinical series of pre-hernia manifestations were rapidled that from sequential brain tissue displacement in part patients, and by developmenting. Leading to a clinical series of pre-hernia by fromed. The effect of pre-hernia intervention on prognosis which from timely onec. methods From June 2015 to December 2022, the 61 patients with unilateral acute frontotemporal parietal subdural hematoma were treated. From June 2015 to December 2022, 61 patients with unilateral frontotemporal acute subdural hematoma were evaluated according to GCS. Twenty-five patients with cascade cerebral hernia and 36 patients with cascade cerebral hernia before hernia underwent dynamic CT examination, and patients with pre-herniation of brain cascade hernia were treated with early intervention. Results The patients were followed up for 6 to 12 months. According to the Glasgow Outcom scale (GOS), there were 25 patients in the brain cascade hernia group; either with 3 cases of 1 point, 4 cases of 2 points, 5 cases 3 points, 4 cases 3 points, 2cases of 4 points, and 9 cases of 5 points. There were 36 patients in the prehernia group: 1 case of 1 point, 3 cases of 2 points, 4 cases of 3 points, 11 cases of 4 points and 17 cases of 5 points. Conclusions Unilatera supratentorial acute frontotemporal parietal acute subdural hematoma leading to the cascade cerebral hernia is easy to lead to instability of clinical vital signs or respiratory and circulatory failure. Patients were must be treated promptly at the early stage or stage I- III or in IV of cascade cerebral hernia in this group Pre-hernia intervention is the key to reduce e mortality and morbidity.

Published in	International Journal of Neurosurgery (Volume 7, Issue 1)
DOI	10.11648/j.ijn.20230701.13
Page(s)	13-18
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Supratentorial Acute Subdural Hematoma, Cascade Cerebral Hernia, Pre-hernia Intervention, Curative Effect

References

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[5]	Zheng dong hong, Lou yong feng, Chen li qing. Analysis of relevant factors of secondery hydrocephalus after large bone window surgery for acute subdural hematoma with cerebral hernia, Zhejiang Trauma Surgery, 2022 (27) 6, 2022.
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[8]	Ma Hui, Hao Shao cai, et al. Surgical treatment of central cerebral hernia caused by severe craniocerebral injury. China J Trauma, 2016, 6 (32), 508.
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[14]	Zhang Yan ping, Wu Tiejun, Zhang Pan, et al. Clinical analysis of 680 ca of traumtic transtentorial hernia with non-invasive reduction. C hina Coal Industry Med, 2011, (2) 219 12.
[15]	A. Scoobilia, P. Gallinar J. Todeschi Chbbaro, et al: surgical management of persistent posttraumatic transtentorial brain hernia. Neurochigie 2021.06.012.3.

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APA Style

Zhang Pan, Zhang Yan Ping. (2023). Pre-hernia Intervention for Cascade Cerebral Hernia Caused by Supratentorial Traumatic Acute Subdural Hematoma. International Journal of Neurosurgery, 7(1), 13-18. https://doi.org/10.11648/j.ijn.20230701.13

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ACS Style

Zhang Pan; Zhang Yan Ping. Pre-hernia Intervention for Cascade Cerebral Hernia Caused by Supratentorial Traumatic Acute Subdural Hematoma. Int. J. Neurosurg. 2023, 7(1), 13-18. doi: 10.11648/j.ijn.20230701.13

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AMA Style

Zhang Pan, Zhang Yan Ping. Pre-hernia Intervention for Cascade Cerebral Hernia Caused by Supratentorial Traumatic Acute Subdural Hematoma. Int J Neurosurg. 2023;7(1):13-18. doi: 10.11648/j.ijn.20230701.13

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@article{10.11648/j.ijn.20230701.13,
  author = {Zhang Pan and Zhang Yan Ping},
  title = {Pre-hernia Intervention for Cascade Cerebral Hernia Caused by Supratentorial Traumatic Acute Subdural Hematoma},
  journal = {International Journal of Neurosurgery},
  volume = {7},
  number = {1},
  pages = {13-18},
  doi = {10.11648/j.ijn.20230701.13},
  url = {https://doi.org/10.11648/j.ijn.20230701.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20230701.13},
  abstract = {Subjecte To investigated the characteristics and diagnosis and treatment which were pre-hernia intervention of cascade hernia. Reduce rate of mortality and disability that is attention must be paid to prehospital intervention before the formation of a true cascade of brain herniation. clinical series of pre-hernia manifestations were rapidled that from sequential brain tissue displacement in part patients, and by developmenting. Leading to a clinical series of pre-hernia by fromed. The effect of pre-hernia intervention on prognosis which from timely onec. methods From June 2015 to December 2022, the 61 patients with unilateral acute frontotemporal parietal subdural hematoma were treated. From June 2015 to December 2022, 61 patients with unilateral frontotemporal acute subdural hematoma were evaluated according to GCS. Twenty-five patients with cascade cerebral hernia and 36 patients with cascade cerebral hernia before hernia underwent dynamic CT examination, and patients with pre-herniation of brain cascade hernia were treated with early intervention. Results The patients were followed up for 6 to 12 months. According to the Glasgow Outcom scale (GOS), there were 25 patients in the brain cascade hernia group; either with 3 cases of 1 point, 4 cases of 2 points, 5 cases 3 points, 4 cases 3 points, 2cases of 4 points, and 9 cases of 5 points. There were 36 patients in the prehernia group: 1 case of 1 point, 3 cases of 2 points, 4 cases of 3 points, 11 cases of 4 points and 17 cases of 5 points. Conclusions Unilatera supratentorial acute frontotemporal parietal acute subdural hematoma leading to the cascade cerebral hernia is easy to lead to instability of clinical vital signs or respiratory and circulatory failure. Patients were must be treated promptly at the early stage or stage I- III or in IV of cascade cerebral hernia in this group Pre-hernia intervention is the key to reduce e mortality and morbidity.},
 year = {2023}
}

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TY - JOUR
T1 - Pre-hernia Intervention for Cascade Cerebral Hernia Caused by Supratentorial Traumatic Acute Subdural Hematoma
AU - Zhang Pan
AU - Zhang Yan Ping
Y1 - 2023/05/22
PY - 2023
N1 - https://doi.org/10.11648/j.ijn.20230701.13
DO - 10.11648/j.ijn.20230701.13
T2 - International Journal of Neurosurgery
JF - International Journal of Neurosurgery
JO - International Journal of Neurosurgery
SP - 13
EP - 18
PB - Science Publishing Group
SN - 2640-1959
UR - https://doi.org/10.11648/j.ijn.20230701.13
AB - Subjecte To investigated the characteristics and diagnosis and treatment which were pre-hernia intervention of cascade hernia. Reduce rate of mortality and disability that is attention must be paid to prehospital intervention before the formation of a true cascade of brain herniation. clinical series of pre-hernia manifestations were rapidled that from sequential brain tissue displacement in part patients, and by developmenting. Leading to a clinical series of pre-hernia by fromed. The effect of pre-hernia intervention on prognosis which from timely onec. methods From June 2015 to December 2022, the 61 patients with unilateral acute frontotemporal parietal subdural hematoma were treated. From June 2015 to December 2022, 61 patients with unilateral frontotemporal acute subdural hematoma were evaluated according to GCS. Twenty-five patients with cascade cerebral hernia and 36 patients with cascade cerebral hernia before hernia underwent dynamic CT examination, and patients with pre-herniation of brain cascade hernia were treated with early intervention. Results The patients were followed up for 6 to 12 months. According to the Glasgow Outcom scale (GOS), there were 25 patients in the brain cascade hernia group; either with 3 cases of 1 point, 4 cases of 2 points, 5 cases 3 points, 4 cases 3 points, 2cases of 4 points, and 9 cases of 5 points. There were 36 patients in the prehernia group: 1 case of 1 point, 3 cases of 2 points, 4 cases of 3 points, 11 cases of 4 points and 17 cases of 5 points. Conclusions Unilatera supratentorial acute frontotemporal parietal acute subdural hematoma leading to the cascade cerebral hernia is easy to lead to instability of clinical vital signs or respiratory and circulatory failure. Patients were must be treated promptly at the early stage or stage I- III or in IV of cascade cerebral hernia in this group Pre-hernia intervention is the key to reduce e mortality and morbidity.
VL - 7
IS - 1
ER -

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Author Information

Zhang Pan

Department of Emergency Intensive Care, LinZi, QuDu Hospital, Zibo, China
Zhang Yan Ping

Department of Neurosurgery, Shan Dong Health Group Zibo Hospital, Zibo, China

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APA Style

Zhang Pan, Zhang Yan Ping. (2023). Pre-hernia Intervention for Cascade Cerebral Hernia Caused by Supratentorial Traumatic Acute Subdural Hematoma. International Journal of Neurosurgery, 7(1), 13-18. https://doi.org/10.11648/j.ijn.20230701.13

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ACS Style

Zhang Pan; Zhang Yan Ping. Pre-hernia Intervention for Cascade Cerebral Hernia Caused by Supratentorial Traumatic Acute Subdural Hematoma. Int. J. Neurosurg. 2023, 7(1), 13-18. doi: 10.11648/j.ijn.20230701.13

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AMA Style

Zhang Pan, Zhang Yan Ping. Pre-hernia Intervention for Cascade Cerebral Hernia Caused by Supratentorial Traumatic Acute Subdural Hematoma. Int J Neurosurg. 2023;7(1):13-18. doi: 10.11648/j.ijn.20230701.13

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@article{10.11648/j.ijn.20230701.13,
  author = {Zhang Pan and Zhang Yan Ping},
  title = {Pre-hernia Intervention for Cascade Cerebral Hernia Caused by Supratentorial Traumatic Acute Subdural Hematoma},
  journal = {International Journal of Neurosurgery},
  volume = {7},
  number = {1},
  pages = {13-18},
  doi = {10.11648/j.ijn.20230701.13},
  url = {https://doi.org/10.11648/j.ijn.20230701.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20230701.13},
  abstract = {Subjecte To investigated the characteristics and diagnosis and treatment which were pre-hernia intervention of cascade hernia. Reduce rate of mortality and disability that is attention must be paid to prehospital intervention before the formation of a true cascade of brain herniation. clinical series of pre-hernia manifestations were rapidled that from sequential brain tissue displacement in part patients, and by developmenting. Leading to a clinical series of pre-hernia by fromed. The effect of pre-hernia intervention on prognosis which from timely onec. methods From June 2015 to December 2022, the 61 patients with unilateral acute frontotemporal parietal subdural hematoma were treated. From June 2015 to December 2022, 61 patients with unilateral frontotemporal acute subdural hematoma were evaluated according to GCS. Twenty-five patients with cascade cerebral hernia and 36 patients with cascade cerebral hernia before hernia underwent dynamic CT examination, and patients with pre-herniation of brain cascade hernia were treated with early intervention. Results The patients were followed up for 6 to 12 months. According to the Glasgow Outcom scale (GOS), there were 25 patients in the brain cascade hernia group; either with 3 cases of 1 point, 4 cases of 2 points, 5 cases 3 points, 4 cases 3 points, 2cases of 4 points, and 9 cases of 5 points. There were 36 patients in the prehernia group: 1 case of 1 point, 3 cases of 2 points, 4 cases of 3 points, 11 cases of 4 points and 17 cases of 5 points. Conclusions Unilatera supratentorial acute frontotemporal parietal acute subdural hematoma leading to the cascade cerebral hernia is easy to lead to instability of clinical vital signs or respiratory and circulatory failure. Patients were must be treated promptly at the early stage or stage I- III or in IV of cascade cerebral hernia in this group Pre-hernia intervention is the key to reduce e mortality and morbidity.},
 year = {2023}
}

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