Basal cisternostomy for traumatic brain injury: A case report of unexpected good recovery  

作　　者：Manuel De Jesus Encarnacion Ramirez Rossi Evelyn Barrientos Castilo Anton Vorobiev Nikita Kiselev Amaya Alvarez Aquino Ibrahim E.Efe 

机构地区：[1]Department of Neurosurgery Russian People's Friendship University,Moscow,Russia [2]Department of Neurosurgery,Municipal Hospital,Podolsk,Rusia [3]Department of Neurosurgery International Center for Neurological Restoration,Havana,Cuba [4]Charite-Universitatsmedizin Berlin,Corporate Member of Freie Universitat Berlin,Humbold-Universitat zu Berlin,And Berlin Institute of Health,Berlin,Germany

出　　处：《Chinese Journal of Traumatology》2022年第5期302-305,共4页中华创伤杂志（英文版）

摘　　要：In subarachnoid hemorrhage following traumatic brain injury (TBI), the high intracisternal pressure drives the cerebrospinal fluid into the brain parenchyma, causing cerebral edema. Basal cisternostomy involves opening the basal cisterns to atmospheric pressure and draining cerebrospinal fluid in an attempt to reverse the edema. We describe a case of basal cisternostomy combined with decompressive craniectomy. A 35-year-old man with severe TBI following a road vehicle accident presented with acute subdural hematoma, Glasgow coma scale score of 6, fixed pupils and no corneal response. Opening of the basal cisterns and placement of a temporary cisternal drain led to immediate relaxation of the brain. The patient had a Glasgow coma scale score of 15 on postoperative day 6 and was discharged on day 10. We think basal cisternostomy is a feasible and effective procedure that should be considered in the management of TBI.

关 键 词：Basal cisternostomy Cerebral edema Decompressive craniectomy NEUROTRAUMA Traumatic brain injury 

分 类 号：R651.15[医药卫生—外科学]