UNIVERSITAS AIRLANGGA



Detail Article

Folia Medica Indonesiana

ISSN 0303-7932

Vol. 45 / No. 4 / Published : 2009-10

Order : 1, and page :244 - 248

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Original Article :

Effect of transventricular cerebrospinal fluid in patient with severe brain damage with thin acute subdural bleeding. a comparative study with decompression trepanation action

Author :

  1. Khamim Thohari *1
  2. Muhammad Arifin Parenrengi*2
  1. Department of Neurosurgery Faculty of Medicine, Airlangga University Dr Soetomo Teaching Hospital, Surabaya
  2. Department of Neurosurgery Faculty of Medicine, Airlangga University Dr Soetomo Teaching Hospital, Surabaya

Abstract :

Severe brain injury is a serious public problem in health service centers and needs continuous improvement of management system. Acute subdural hematomas is the main cause of mortality in severe brain injury with intracranial mass lesion, averaging 42%-90%. There are different considerations until this time about the management of thin acute subdural hematomas less than one centimeter of thickness that have mass lession effect with cerebral midline shift of more than five millimeters in severe brain injury. Observational prospective study, sample number 38 cases of severe brain injury with thin subdural hematomas in August 2005 until July 2006. There are 19 cases treated with surgical decompression craniotomy and 19 cases treated with transventricular CSF drainage. The two groups were followed up concerning mortality and out come until three months after procedure treatment. Statistically analysis with ordinal regression and Fisher’s exact and t 2 sample tests. Mortality of decompression craniotomy in severe brain injury group is 57,9%, vegetative and severe disability are 5,3%, moderate disability and full recovery are 15,8%, compare with trans ventricular CSF drainage 36,8% mortality and 5,3% vegetative and severe disability5,3%, moderate disability and 42,1% full recovery.Ordinal regression analysis for Craniotomy decompression and CSF drainage to dependent variabel are significance for mortality with p value 0,041. There are significant factors showing that trans ventricular CSF drainage of thin acute subdural hematomas in severe head injury is better than surgical decompression craniotomy management.

Keyword :

Subdural hematomas, severe brain injury, trans ventricular CSF drainage, surgical decompression craniotomy,


References :

Cooper PR, Golfinos JG,(2000) Intracranial Pressure Monitoring: Techniques and Pitfalls. In Head Injury, Fourth edition New York : MCGraw-Hill

Cruz Y, Minoja G, Mattioli C, De Carvalho WB, Petitjean ME,(1997) Severe Acute Brain Trauma. In (Cruz Y ed). Neurologic and Neurosurgical Emergencies Philadelphia : WB Saunders Co





Archive Article

Cover Media Content

Volume : 45 / No. : 4 / Pub. : 2009-10
  1. Utilization Of Extract Phaleria (phaleria Macrocarpa) As A Precaution Against Carbon Tetrachloride Induced Hepatotoxicity In Mice
  2. Effect Of Transventricular Cerebrospinal Fluid In Patient With Severe Brain Damage With Thin Acute Subdural Bleeding. A Comparative Study With Decompression Trepanation Action
  3. Comparative Effectiveness Between Chlorhexidine Gluconate 0.2% And Povidone-iodine 1% As An Antiseptic To Decrease Density Level Of Intraoral Germs In Maxillofacial Fracture Surgery
  4. Cyclin D1 Expression Relationship With Clinical Stage, Grading Gland Metastasis Of Tumor Cells And Squamous Cell In Cervical Carcinoma
  5. Identification Of Fungtional Cluster Of Extract Parasite Duku (loranthaceae Deandropthoe Species) With Ft-ir Spectrometer
  6. Pcr Inhibitor Contaminant Detection From Extraction Products Of Resin Chelating Dna In Forensic Dna Identification
  7. Events And Risk Factors Of Developmental Disorders In Low Birth Weight Babies
  8. Correlation Of C-erbb2 Expression In Undifferentiated Nasopharyngeal Carcinoma And Tumor Size (t-stage), Regional Lymphnodes Status (n-stage), And Radiation Response
  9. Macrophage Between The First And Third Day Of Closed Femoral Fracture
  10. Parasitological Examination Of Imported And Indigenous Malaria In Tegalombo Community Health Center, Pacitan Disctrict, East Jawa Province
  11. Review Article: How To Manage Endometrioma By Laparoscopy? Ablation Or Excision?
  12. Review Article: Anatomical Aspect Of Shoulder Joint Dislocation For Volleyball Players
  13. Review Article: The 22 Pleiotropic Properties Of Statin And Cardiovascular Diseases The Roles Of Atorvastatin With Its Ppeccat-gommesaab Effects

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