ABSTRACT
Objective To investigate the effects of electrocorticography(ECoG) monitoring in microsurgical treatment of intracranial cavernous hemangiomas(ICH).Methods Fifteen cases of ICH with secondary epilepsy were investigated from 2000 to 2005.They all had been performed ECoG monitoring during operation for determining the precise position and scope of focal epileptogenicity.Results Follow-up visit found 10 cases cured without drugs,4 cases total controlled with 1/4~1/3 quantity of premedicant,1 case had epileptic seizure by chance with drugs.Conclusion ECoG monitoring can provide the direction during the surgical procedure,and controls the postoperative epileptic seizure.
ABSTRACT
Objective To study the clinical features and diagnosis and therapy of the post-traumatic diabetes insipidus.Methods Forty patients with post-traumatic diabetes insipidus who admitted to our department from June 1990 to June 2000 were analyzed retrospectively.There were 26 cases of male and 14 cases of female.Average age was 21 years old.Results GCS score of twenty nine cases was 8;nine cases:9～12;two cases:13～15 at admission.37 cases survived in which 33 cases had a good recovery,and other 4 cases with persistent diabetes insipidus.The other 3 death after therapy.ConclusionMost post-traumatic diabetes insipidus are temporary,their prognosis are good through early diagonosis and effective treatment.
ABSTRACT
We report 3 cases of subdural tension pneumocephalus following burr - hole irrigation of traumatic chronic subdural hematoma. All of them were cured. Main factors leading to the pneumocephalus may be the damage to the hematoma capsule during operation, unidirection vaives formed from dural leceration and delayed re - expansion of the compressed brain. The clinical feature, CT finding, management and preventive measure of such a complication are also discussed.