Pre-hernia Intervention for Cascade Cerebral Hernia Caused by Supratentorial Traumatic Acute Subdural Hematoma

Abstract

<i>Subjecte</i> To investigated the characteristics and diagnosis and treatment which were pre-hernia intervention of cascade hernia. Reduce rate of mortality and disability that is attention must be paid to prehospital intervention before the formation of a true cascade of brain herniation. clinical series of pre-hernia manifestations were rapidled that from sequential brain tissue displacement in part patients, and by developmenting. Leading to a clinical series of pre-hernia by fromed. The effect of pre-hernia intervention on prognosis which from timely onec. <i>methods</i> From June 2015 to December 2022, the 61 patients with unilateral acute frontotemporal parietal subdural hematoma were treated. From June 2015 to December 2022, 61 patients with unilateral frontotemporal acute subdural hematoma were evaluated according to GCS. Twenty-five patients with cascade cerebral hernia and 36 patients with cascade cerebral hernia before hernia underwent dynamic CT examination, and patients with pre-herniation of brain cascade hernia were treated with early intervention. <i>Results</i> The patients were followed up for 6 to 12 months. According to the Glasgow Outcom scale (GOS), there were 25 patients in the brain cascade hernia group; either with 3 cases of 1 point, 4 cases of 2 points, 5 cases 3 points, 4 cases 3 points, 2cases of 4 points, and 9 cases of 5 points. There were 36 patients in the prehernia group: 1 case of 1 point, 3 cases of 2 points, 4 cases of 3 points, 11 cases of 4 points and 17 cases of 5 points. <i>Conclusions</i> Unilatera supratentorial acute frontotemporal parietal acute subdural hematoma leading to the cascade cerebral hernia is easy to lead to instability of clinical vital signs or respiratory and circulatory failure. Patients were must be treated promptly at the early stage or stage I- III or in IV of cascade cerebral hernia in this group Pre-hernia intervention is the key to reduce e mortality and morbidity.