Author/Editor     Bošnjak, Roman
Title     Nevrokirurški ukrepi za preprečevanje sekundarne možganske poškodbe
Translated title     Neurosurgical prevention of secondary complications after brain injury
Type     članek
Source     In: Košorok V, Grabljevec K, editors. Poškodba glave - vpliv celovite nevrorehabilitacijske obravnave na funkcijski izid. Zbornik predavanj 16. dnevi rehabilitacijske medicine; 2005 mar 18-19; Ljubljana. Ljubljana: Inštitut Republike Slovenije za rehabilitacijo,
Publication year     2005
Volume     str. 39-53
Language     slo
Abstract     A modern treatment of secondary traumatic brain injury includes a team approach and a sequence of non-surgical and surgical procedures. Intracranial hypertension is the main cause of death in patients with traumatic brain injury. The aim of the majority of neurosurgical procedures is to decompres the brain by removing acute or delayed spacio-compressive lesions (hematoma evacuation), by elevating large impressive fractures, by releasing tension pneumocephalus, to prevent further bleeding and to treat or prevent different types of hydrocephalus. A decompressive craniotomy is performed in selected patients with closed head injury to ease the control elevated intracranial pressure (ICP). The insertion of sensor for ICP measurement in patients with closed head injury augments pharmacological treatment of brain edema in neurosurgical intensive care unit and immediately detects acute worsening in a comatose patient. The intracranial infection is prevented by debridment of wound in open cranial fractures, perforating and penetration injuries of the skull and gunshut injuries. Key words: craniocerebral trauma; neurosurgical procedures; intracranial hypertension; intracranial hemorrhages; hydrocephalus; skull fracture; diffuse axonal injury
Descriptors     HEAD INJURIES
BRAIN INJURIES
CRANIOTOMY
INTRACRANIAL PRESSURE
CEREBRAL HEMORRHAGE
HYDROCEPHALUS
SKULL FRACTURES
HEMATOMA, EPIDURAL
HEMATOMA, SUBDURAL
TOMOGRAPHY, X-RAY COMPUTED
HYPOTENSION