外傷性腦挫傷是一種臨床上常見的疾病類別,針對不同患者其預後也呈多樣化。前額葉位置的挫傷較容易迅速惡化,並導致嚴重的顱內高壓。在這種情況下,控制顱內壓的方法包括低溫治療和充分的鎮靜病患。在此我們報導一例遲發性雙側額葉挫傷,並導致術後出現頑固性顱內高壓。其顱內高壓並不受到低溫治療和其他醫療措施的控制。安排連續24小時腦波監測後,發現腦波呈持續癲癇的狀態。使用合適的抗癲癇治療後,病情獲得良好的改善。
The traumatic cerebral contusions is a common clinical entity but its prognosis varies among patients. The frontal location contusions are vulnerable to rapid deterioration and resulting in severe elevated intracranial hypertension. In this situation, the intracranial pressure is controlled by therapeutic hypothermia and fully sedation of patient. We reported a case of delayed bifrontal contusions resulting in postoperative refractory intracranial hypertension. It is not controlled by therapeutic hypothermia and other medical measures. The continuous electroencephalography showed nonconvulsive status epilepsy exists. The condition was well improved after appropriated antiepileptic treatment.
為了持續優化網站功能與使用者體驗,本網站將Cookies分析技術用於網站營運、分析和個人化服務之目的。
若您繼續瀏覽本網站,即表示您同意本網站使用Cookies。