Intracranial pressure monitoring for special patterns of frontal lobe contusions  

作　　者：董吉荣 蔡学见 王标 王玉海 时忠华 刘斌 蔡桑 徐勤义 

机构地区：[1]Neurosurgical Department of 101 Hospital of PLA, Rescue Center of Craniocerebral Injuries in Army, Wuxi 214044, China

出　　处：《Chinese Journal of Traumatology》2010年第1期51-54,共4页中华创伤杂志（英文版）

摘　　要：Objective： To study the effect and indications ofintracranial pressure （ICP） monitoring for frontal lobe contusion patients. Methods： During January 2005-December 2008, 34 cases of frontal lobe contusion received ICP monitoring in our department （monitoring group）. Different treatment protocols were adopted according to the results of ICP. Mean-while 46 cases of same type of head-injured patients who did not undergo ICP monitoring served as control group. Results： We found that ICP elevated dramatically within 24 hours after head injury if the contusions were located in frontal longitudinal dehiscence, bilateral undersurface of frontal lobe or dispersed in bilateral lobe. After half a year follow-up and on the basis of Glasgow Coma Scale assessment, the monitoring group showed better outcome than the control group with good recovery in 24 cases （70.6%）, moderate disability in 7 cases （20.6%）, severe disability in 2 （5.88%） and death in 1 （2.94%）. The outcome of control group displayed good condition in 25 cases （54.3%）, moderate disabilities in 8 （17.4%）, severe disability in 7 （15.2%）, and death in 6 （13.0%）. Conclusions： Frontal lobe contusions are vulnerable and complex head injuries, especially when the contusions are located in frontal longitudinal dehiscence, bilateral undersurface of frontal lobe or diffused in bilateral lobes. These patients should undergo ICP monitoring regardless of their consciousness status. IflCP elevates over 25 mm Hg, the craniotomy is mandatory and will markedly reduce the mortality and disability of these patients.

关 键 词：Frontal lobe CONTUSIONS Intracranial pressure CRANIOTOMY 

分 类 号：R445.2[医药卫生—影像医学与核医学]