Exploration of the diagnosis and treatment for delayed intracranial hematoma after cranioplasty under the temporalis
Zhang Wengqing
Huang Shengyue
Zheng Shihao
Chen Zhongyi
Hong Wenyao
Liao Zhengjian
Abstract：Objective To discuss the pathogenesis and therapeutic method for delayed intracranial hematoma after cranioplasty under the temporalis with digital forming titanium mesh. Methods Clinical data and treatment method of 15 patients with delayed intracranial hematoma undergoing cranioplasty under the temporalis with digital forming titanium mesh were analyzed retrospectively. Results The volume of hematoma was more than 35 ml in 11 patients, of whom, 3 with obnubilation were cured by craniotomy for hematoma aspiration. Three conscious patients were found to have hematoma within 3 days after operation and were cured by urokinase perfusion and drainage. The hematomas gradually enlarged 3 days after operation in 5 patients with good general condition, and were cured by puncture and drainage. The other 4 patients with hematoma volume ranging from 20 ml to 30 ml were found no change of mind, pupil and activity, and were cured by conservative treatment. All the patients were followed up for 3 months after operation and none recurred. Conclusions We should closely observe the change of mind, pupil and limb activity, repeat the brain CT scan and select various therapeutic methods in time for the patients with intracranial hematoma after cranioplasty under the temporalis, and can achieve a good prognosis.
Keywords：hematomaepiduralskull defectcranioplastyunder temporalisdigital formimg titanium mesh
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 112-114 )