Characteristics and treatment strategies of frontal lobe brain contrecoup contusion associated with occipital fracture (report of 198 cases)
GUO Hong-gang
ZHANG Fa-xue
MENG Ying
Abstract：Objective To summarize the clinical manifestations, imaging features, treatment and surgical indications and opportunity of the frontal lobe brain contrecoup contusion associated with occipital fracture (CCAF). Methods The clinical data of 198 patients with frontal lobe brain CCAF, of whom 28 underwent emergency surgery and 170 were conservatively treated (34 were treated also by surgery because of the poor effects of conservative treatment), analyzed retrospectively. Results Of 198 patients who were followed up from 6 months to 12 years, 156 were recovered well, 13 moderately disabled, 17 severely disabled and 12 died. Conclusions The surgery should be performed immediately if the patents with frontal lobe brain CCAF are in critical conditions. The patients with frontal lobe brain CCAF who had mild disturbance of consciousness may be first treated conservatively and if their conditions are deteriorated, the surgery should be performed also. The incidence of delayed epidural hematoma may be decreased by the delayed surgery in the patients with frontal lobe brain CCAF.
Keywords：Cerebral contrecoup contusionFrontal lobeOccipital fractureClinical featuresSurgical opportunity
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 527-529 )