查詢結果分析
相關文獻
頁籤選單縮合
題名 | Is Preoperative Brain Midline Shift a Determinant Factor for Neurological Improvement after Cranioplasty? |
---|---|
作者 | Lin, Chun-hsien; Yang, Jen-tsung; Wang, Ting-chung; Lin, Martin Hsiu-chu; Cheng, Wan-chun; Lee, Ming-hsueh; | 書刊名 | Journal of the Formosan Medical Association |
卷期 | 114:7 2015.07[民104.07] |
頁次 | 頁577-582 |
分類號 | 416.291 |
關鍵詞 | Brain midline shift; Craniectomy; Cranioplasty; Neurological improvement; |
語文 | 英文(English) |
英文摘要 | BACKGROUND/PURPOSE: In patients with traumatic brain injury, the degree of brain midline shift is related to prognosis. In this study, we evaluated the impact of the presence of a preoperative brain midline shift on the Glasgow Coma Scale (GCS) scores and muscle power (MP) improvement after cranioplasty. METHODS: In this 6-year retrospective cohort study, we compared cranioplasty patients from Taiwan with and without a preoperative brain midline shift. We assigned the patients to the following two groups: the midline shift group and the nonmidline shift group. The GCS score and MP contralateral to the lesion site were recorded and analyzed both prior to and 1 year after the operation. RESULTS: We enrolled 56 cranioplasty patients (35 patients with a midline shift and 21 without a midline shift) and analyzed their complete clinical characteristics. There were significant improvements in the GCS (p = 0.0078), arm MP (p = 0.0056), and leg MP (p = 0.0006) scores after cranioplasty. There was also a significant improvement in the GCS score in the brain midline shift group (0.4 ± 0.149 in the brain midline shift group vs. 0.05 ± 0.48 in the nonmidline shift group, p = 0.03). CONCLUSION: For patients who underwent craniectomy, an improvement in neurological function 1 year after cranioplasty was observed. The patients with brain midline shift showed more improvement in consciousness after cranioplasty than those without a brain midline shift. The presence of a preoperative brain midline shift may be an isolated determinant for the prediction of the outcome after cranioplasty. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。