Post-traumatic encephalocele

Introduction to brain swelling after trauma Post-traumatic brain bulging refers to open head injury, especially penetrating firearm injury, because the scalp, skull and dura mater are open, even with scalp, skull and dura mater, if there is an early injury Intracranial hemorrhage, increased intracranial pressure caused by cerebral edema, it is easy to cause the brain tissue to bulge outward from the skull defect. basic knowledge The proportion of sickness: 0.01% Susceptible people: no special people Mode of infection: non-infectious Complications: purulent meningitis, brain abscess, ventriculitis

Causes of brain swelling after trauma

After open brain injury, intracranial hemorrhage caused by intracranial hemorrhage and cerebral edema.

Prevention of brain swelling after trauma

1. Try to avoid intracranial hypertension after open brain injury.

2. The disease is a traumatic disease, pay attention to safety, drive carefully, keep the home environment bright, walk carefully, watch children and avoid trauma.

Complications of brain swelling after trauma Complications, purulent meningitis, brain abscess, ventriculitis

If the injury is more than 1 week after the injury, because the initial debridement is not complete or because of the late treatment, there are a lot of erosive crushed tissue, blood clots, bone fragments and foreign bodies, etc., and the prominent brain tissue is infected. Second, there are often secondary infections in the skull, such as purulent meningitis, brain abscess, subdural empyema, and even ventriculitis or thrombotic sinusitis. If it is malignant brain swelling, it is not timely and effective. The treatment will inevitably endanger the patient's life.

Cerebral bulging symptoms after trauma Common symptoms Intracranial hypertension intracranial hemorrhage scalp laceration scalp tenderness fever purulent secretion chills

Early cerebral palsy bulging time is short, local appearance has two manifestations: the wound is wet, bloody cerebrospinal fluid or plasma-like exudation, pulsation, a little secretion on the surface, no obvious pus, pink, no necrotic tissue; wound surface In the dry, there is a thin layer of epidermis on the cerebral palsy, but there is often a small amount of secretion at the base of the brain bulging and the scalp. The late cerebral palsy is often infected seriously, the surface tissue is ischemic, necrotic, grayish white, there is more More purulent secretions, the base and the scalp adjacent to the gap often have empyema, because the incarcerated adhesion has no pulsation visible, severe infection, in addition to the symptoms of intracranial hypertension, at the same time, may also be accompanied by chills, Fever and corresponding signs of focal nerve damage.

Examination of brain swelling after trauma

Brain CT examination, brain MRI examination, head plain film, urine routine, blood routine, cerebrospinal fluid routine test (CSF).

Diagnosis and differentiation of brain swelling after trauma

Diagnosis can be based on the cause, symptoms and related tests.

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