Some observations about the causes of death due to skull traumata at Saint Paul Hospital in the years 1998-1999

A total of 1,144 cases of skull traumata were treated (vs. 410 cases in 1966). Retrospective survey showed mortality rate was 75.9% in male subjects (66), and was 24.1% in female (21). 69% was patients with aged from 20 to 60 and 25.3% above 60 years. Travelling incidence was the main causes of death, which made up 87,3% of fatal cases. The majority of admitted cases had respiratory disturbance. Assisted injuries were very severe which caused the death in early 6 hours and the death occurred in 50% of fatal cases during 3 first day after the admission

Complications and complication management in ventriculo-peritoneal shunt: review 668 cases

During the period 1993-1998, 668 cases of hydrocephalus, included 351 male and 137 female patients with age ranged from 5 days to 72 years, were operated using method of ventriculo-peritoneal shunt at the Department of Neurosurgery of St.Paul Hospital, Hµ Néi. The author reported use of a modified surgical technique, analysed post-operative complications and methods for managing these complications

Cause of, prevention and management for cranial overlap in children

Cranial joint overlap (usually occurs in frontal parietal and parietal occipital joints) is one cause of craniostenosis. Cranial joint overlap is a sequela of meningeal hemorrhage and tends to occur on the children who are laid on back during treatment period for meningeal hemorrhage. To prevent, the children should be changed position during treatment period. Treatment for cranial joint overlap includes resection of overlapped joint, separating the frontal bone (or event occipital bone) from dura mater of brain and from parietal bone, corrects the bone if it was deformed

Magnetic resonance imaging in diagnosis of brain and medullary lesions

Magnetic resonance imaging (MRI) is an excellent exploring method for possibility of early and precise diagnosis, especially in the brain tumors and medullary lesions. The author presents special 9 cases of brain tumors and medullary lesions,which have been diagnosed by MRI, and operated at the section of Neurosurry Ha noi Saint- Paul Hospital in 1997

Discussion of the treatment of cerebral-ventricular apoplexy due to cerebrovascular accident

The cerebral-ventricular apoplexy is not common complication. Among 158 patients with intracerebral blood clot, there were 5 cases of the cerebral-ventricular apoplexy (male: 2; female: 3) between the ages of 19 and 42. The clinical manifestations were usually poor. These manifestations in the young people included headache, stroke and coming to coma. The disease mainly discovered by CT scanner. The internal treatment indicated for patients with the cerebral ventricular apoplexy with Glasgow score above 8. The surgical intervention indicated for patients with gradual reduction of Glasgow score and immediate coma after apoplexy.

Primarily results of treatment of the blood aggregation due to cerebrovascullar accident (hypertension and vascular deformity) by perforation and suck the aggregated blood

A study on 65 patients with the blood aggregation in brain due to the cerebrovascular accident operated in Saint-Paul hospital during 1999-10/2000 (male: 48, female: 17, youngest: 17, eldest: 74) has shown that the cause of disease: hypertension (65%), the position of blood aggregation: temporal area: 37; frontal area: 15; occipital area: 10; behind hollow: 2 ventricle of cerebrum: 1; the blood aggregation focus runs in to the ventricle of cerebrum: 21/65. There is no different between the right and left of hemisphere, 33,84% patients were indicated the emergency operation and 56,92% patients operated after accident 5 -15 days.

Discussion of guidline of the treatment of the cerebral haemorrhage due to cerebrovascular accident (hypertension and vascular deformity) by surgery

Objectives: Introduction of the operative technique, creteria of indication for the operation and results. Subjects: 75 patients in 2000 (male: 56; female: 19) The results: the cerebral haemorrhage due to cerebro-vascular accident sometimes were intervented by surgery (specific indication) which helped improving the internal treatment. The procedure of operation involved the drilling the skull and aspiration of the blood. The creteria for surgery by experiences of 100 operations were no limitation of age, Glasgow score: 6; diameter of the blood aggregation : 2 cm. Position of the blood aggregation: any position excluding the cerebral stem. The internal treatment was continued and rehabitation (if having paralysis).

Review on 243 cases of operation for brain tumor in children

In 6 years period (1993-1998) 243 cases of brain tumor in children have been operated at the Dep. of Neurosurgery of Hanoi Saint-Paul hospital. The author presents a study of localisation and anato pathology of tumors, methods of treatment and operative results.

Some opinions of intracranial arachnoid cysts in 11 operated children in Saint Paul hospital

Since October 1993 to October 1995, 11 cases of arachnoid cysts in infant of 2 months -14 years old were operated on at the neurosurgical dep of Hanoi Saint-Paul hospital. Results: excellent and good results: 7/11. Relative: 4/11 No death was reported. The author presents an analysis of detailed clinical signs, anotomo - pathology for clinical diagnosis and surgical treatment, and the method of choice for the treatment. The diagnosis must be made early by CT scaning or Echography.

Value of the magnetic resonance image (MRI) in the finding some diagnosed difficult cerebral and medullary diseases

Magnetic resonance imaging (MRI) is an excelent explorating method for possibility of early and precise diagnosis, especially in the brain tumors and medullary lesions. The author presents special 9 cases of brain tumors and medullary lesions, which have been diagnosed by MRI, and operated at the department of Neurosurgery Hanoi Saint-Paul Hospital in 1997

Results of surgical treatment of 16 patients with menigocele and menigomyelocele in Saint Paul hospital

During 3 years, more 400 cases of the brain diseases in children have been operated at the department of neurosurgery of Hanoi Sain - Paul hospital. Among of them, only 16 cases of meningocele and meningoencephalocele who were congenital malformations of neurology with age of 2 days- 16 month of age. The author have presented the clinical and paraclinical manifestations, the indication, and the method of choice for the treatment, and the use of modified technique in the operation. For good results of postoperation, the diagnosis and treatment must be made early in the first days of life of children. Results: among of 16 cases: good 15, death: 1

Results of surgical treatment of meningoceles and menigo-encephalocelles in 16 operated cases in Saint- Paul hospital

During 3 years over 400 cases with neurological diseases in infants were operated on at the Dep. of Neurosurgery of Hanoi Saint-Paul hospital. Among them, there were only 16 cases with meningocele and meningo-encephalocele (congenital malformations). These patients were from 2 days to 16 months of age. To obtain good results, the diagnosis and treatment must be made early in the first days of life of the children. Results: among 16 cases: good:15, death:1