Abstract
This paper aimed to explore the application value of CT imaging in the correlation analysis of communicating hydrocephalus (CH) after decompressive craniectomy (DC) of craniocerebral injury (CI). 410 patients with craniocerebral trauma who were admitted to the hospital from October 2015 to October 2019 were taken as subjects, among which 130 patients suffered from CH. All patients underwent craniocerebral CT examination, and logistic regression was applied to analyze the risk factors of hydrocephalus in CI and hydrocephalus after DC surgery. The results showed that the coma time (OR = 5.1283, P = 0.001 ), subarachnoid hemorrhage (SAH) (OR = 7.6543, P = 0.020 ), Glasgow Coma Scale (GCS) score no more than 8 points (OR = 3.5480, P = 0.001 ), intraventricular hemorrhage (OR = 2.2653, P = 0.003 ), cerebral contusion and laceration (OR = 1.036, P = 0.002 ), and subdural hemorrhage (OR = 2.4376, P = 0.001 ) were independent risk factors for CH. Bilateral DC (OR = 15.342, P = 0.023 ), second surgery (OR = 7.021, P = 0.004 ), bone window height (OR = 6.543, P = 0.041 ), and bone window area (OR = 1.035, P = 0.012 ) were independent risk factors for CH after DC surgery. It suggested that CT imaging technology could be utilized in the diagnosis of CI. The risk factors of CH included coma time, SAH, GCS score no more than 8, intraventricular hemorrhage, brain contusion, subdural hematoma, bilateral DC, bone window height, bone window area, and second surgery.
Highlights
Craniocerebral injury is a relatively common disease in neurosurgery [1]
decompressive craniectomy (DC) has been widely adopted clinically, and the occurrence of hydrocephalus after DC surgery in the current application process has become a difficult problem in the treatment of craniocerebral injury (CI). erefore, the research on the changes of cerebrospinal fluid and the occurrence of hydrocephalus after DC surgery is very important for the clinical treatment of CI and the prognosis of patients
It showed left frontal epidural hematoma; the main feature was a biconvex lensshaped high-density shadow on the inside of the skull, which was assessed as mild by Glasgow Coma Scale (GCS) (Figure 1(a)). e subdural hematoma at the top of the left temporalis was mainly characterized by a certain degree of squeezing of the adjacent brain tissue, with split-brain and sulcus gradually narrowing and disappearing
Summary
Craniocerebral injury is a relatively common disease in neurosurgery [1]. Patients with CI are usually prone to hydrocephalus, and hydrocephalus will eventually cause disability or death in patients, thereby increasing mortality. Hydrocephalus refers to the breakdown of the balance between the formation and absorption of cerebrospinal fluid, which leads to the expansion of the ventricular system [3, 4] It is usually divided into two types, communicative and non-CH [5]. If the horizontal position of the arachnoid particles is blocked, it is a CH; but if the position above the arachnoid particles is blocked, it is a non-CH Such classification method is helpful for physicians to formulate appropriate clinical treatment plans for patients. Erefore, the research on the changes of cerebrospinal fluid and the occurrence of hydrocephalus after DC surgery is very important for the clinical treatment of CI and the prognosis of patients DC has been widely adopted clinically, and the occurrence of hydrocephalus after DC surgery in the current application process has become a difficult problem in the treatment of CI. erefore, the research on the changes of cerebrospinal fluid and the occurrence of hydrocephalus after DC surgery is very important for the clinical treatment of CI and the prognosis of patients
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