ABSTRACT
Cerebral venous sinus thrombosis (CVST) is a rare type of cerebrovascular disease, accounting for about 0.5% of all strokes. About 4% of patients with CVST have supratentorial brain parenchymal lesions and brain edema sufficient to cause brain hernia and neurological deterioration, which is called malignant CVST. Malignant CVST refers to the clinical (loss of consciousness, unilateral or bilateral pupil dilation) and imaging signs of supratentorial cortical lesions (ischemia or hemorrhage) accompanied by tentorial hiatal hernia formation at the onset or after treatment with heparin. For patients with malignant CVST, decompressive craniectomy is not only a life-saving treatment, but also can make most patients achieve good functional outcome.
ABSTRACT
Objective To summarize the nursing experience of post-craniotomy patients using continuous intracranial pressure (ICP) monitoring. Methods Fifty post-craniotomy patients using ICP monitoring admitted to the Department of Neurosurgery of the First People's Hospital of Huzhou from March 2015 to March 2016 were enrolled. All patients were given the following nursing measures: maintaining the ICP monitoring device performance efficient and accurate, timely removing the factors associated with the increase of ICP and meanwhile, the dynamic changes of ICP and prognosis were observed. Results Fifty patients in this group all had elevated ICP, and the number of patients with mild, moderate, and severe ICP elevation was 26, 18, and 6 respectively. In this group of patients, 46 cases recovered well, 1 case was in a vegetative state, 2 cases gave up the treatment and 1 case died. None of the 50 patients had any complications and the detachment of tubing. The therapeutic program was adjusted in time based on ICP monitoring results. Conclusion Adopting correct intervention measures can effectively reduce the occurrence of complications, ensure that ICP monitoring can reflect the condition of ICP, and timely discover brain edema or recurrence of intracranial hematoma.