Timing of Craniotomy in a Patient With Multiple Trauma Including Head Injury -Case Report-

• FUKAI Junya

  Department of Neurosurgery, Japanese Red Cross Society Wakayama Medical Center Department of Neurological Surgery, Wakayama Medical University School of Medicine

• TSUJIMOTO Toshihide

  Department of Critical Care Medicine, Japanese Red Cross Society Wakayama Medical Center

• YOSHIMURA Ryo

  Department of Neurosurgery, Japanese Red Cross Society Wakayama Medical Center

• RAIMURA Masaki

  Department of Neurosurgery, Japanese Red Cross Society Wakayama Medical Center

• KUWATA Toshikazu

  Department of Neurosurgery, Japanese Red Cross Society Wakayama Medical Center

• HYOTANI Genhachi

  Department of Neurosurgery, Japanese Red Cross Society Wakayama Medical Center

• YABUMOTO Michio

  Department of Neurosurgery, Japanese Red Cross Society Wakayama Medical Center

• ITAKURA Toru

  Department of Neurological Surgery, Wakayama Medical University School of Medicine

• KAMEI Ichiro

  Department of Neurosurgery, Japanese Red Cross Society Wakayama Medical Center

書誌事項

タイトル別名

• —Case Report—

抄録

A 7-year-old boy suffered blunt multiple injuries to the head, face, chest, and abdomen in a motor vehicle accident. On admission he had impaired consciousness and dyspnea. Radiographic studies revealed facial fracture and pulmonary contusion. Shortly after admission, he fell into shock due to intraabdominal bleeding. Laparotomy revealed spleen rupture. His vital signs remained unstable and bloody drainage from the abdominal cavity continued after surgery. Computed tomography showed traumatic intracerebral hematoma in the right temporal lobe, enlarging and compressing the brainstem. Abdominal reoperation was performed first to control the bleeding and stabilize the hemodynamics, disclosing renal laceration. Then evacuation of the intracerebral hematoma and decompressive craniectomy was performed. Postoperatively, his hemodynamics were stabilized. Clinical course was uneventful and neurological deficits gradually improved. Three months after the trauma, the patient was discharged on foot. This case emphasizes the importance of hemodynamic stability in decisions of neurosurgical indication and timing in patients with multiple trauma including head injury.<br>

収録刊行物

• Neurologia medico-chirurgica

  Neurologia medico-chirurgica 49 (1), 22-25, 2009

  一般社団法人 日本脳神経外科学会

キーワード

• multiple trauma
• head injury
• abdominal injury
• craniotomy
• laparotomy

詳細情報

• CRID: 1390001205053547264
• NII論文ID: 110007028645
• NII書誌ID: AN00358613
• DOI: 10.2176/nmc.49.22
• ISSN: 13498029
• ISSN: 04708105
• Web Site: http://www.jstage.jst.go.jp/article/nmc/49/1/49_1_22/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2009134832
• 本文言語コード: en
• データソース種別:
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  • CiNii Articles
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