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Concurrent Surgery of Craniectomy and Splenectomy as Initial Treatment in Severe Traumatic Head Injury: A Case Report

It is not a common case for neurosurgery department and the other departments to perform joint operation at the same time. Patients with severe head injury are a condition in which vital signs are unstable due to severe brain swelling and increased intracranial pressure, and emergency surgery is req...

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Autores principales: Lee, Hyeong Rae, You, Nam Kyu, Seo, Sook Jin, Choi, Mi Sun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurotraumatology Society 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702750/
https://www.ncbi.nlm.nih.gov/pubmed/29201849
http://dx.doi.org/10.13004/kjnt.2017.13.2.141
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author Lee, Hyeong Rae
You, Nam Kyu
Seo, Sook Jin
Choi, Mi Sun
author_facet Lee, Hyeong Rae
You, Nam Kyu
Seo, Sook Jin
Choi, Mi Sun
author_sort Lee, Hyeong Rae
collection PubMed
description It is not a common case for neurosurgery department and the other departments to perform joint operation at the same time. Patients with severe head injury are a condition in which vital signs are unstable due to severe brain swelling and increased intracranial pressure, and emergency surgery is required. A 44-year-old man visited the trauma center with a motorcycle accident. The Glasgow Coma Scale score at the time of emergency department was 3 points, and the pupil was fixed at 6 mm on both sides. His medical history was unknown. His vital signs including blood pressure (BP), heart rate, respiratory rate and oxygen saturation were stable. Associated injuries included multiple fractures of whole body. Brain computed tomography revealed subarachnoid hemorrhage, intraventricular hemorrhage and severe cerebral edema. During the preparation of the craniectomy, abdominal ultrasonography performed because of decreased BP resulted in a large amount of hemoperitoneum. The bi-coronal craniectomy and splenectomy were performed simultaneously for about 4 hours. After fifty days of treatment, he was discharged with Glasgow Outcome Scale-extended 4 points and is undergoing rehabilitation. In severe polytrauma patients, active concurrent surgery is a good method to save their lives.
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spelling pubmed-57027502017-12-03 Concurrent Surgery of Craniectomy and Splenectomy as Initial Treatment in Severe Traumatic Head Injury: A Case Report Lee, Hyeong Rae You, Nam Kyu Seo, Sook Jin Choi, Mi Sun Korean J Neurotrauma Case Report It is not a common case for neurosurgery department and the other departments to perform joint operation at the same time. Patients with severe head injury are a condition in which vital signs are unstable due to severe brain swelling and increased intracranial pressure, and emergency surgery is required. A 44-year-old man visited the trauma center with a motorcycle accident. The Glasgow Coma Scale score at the time of emergency department was 3 points, and the pupil was fixed at 6 mm on both sides. His medical history was unknown. His vital signs including blood pressure (BP), heart rate, respiratory rate and oxygen saturation were stable. Associated injuries included multiple fractures of whole body. Brain computed tomography revealed subarachnoid hemorrhage, intraventricular hemorrhage and severe cerebral edema. During the preparation of the craniectomy, abdominal ultrasonography performed because of decreased BP resulted in a large amount of hemoperitoneum. The bi-coronal craniectomy and splenectomy were performed simultaneously for about 4 hours. After fifty days of treatment, he was discharged with Glasgow Outcome Scale-extended 4 points and is undergoing rehabilitation. In severe polytrauma patients, active concurrent surgery is a good method to save their lives. Korean Neurotraumatology Society 2017-10 2017-10-31 /pmc/articles/PMC5702750/ /pubmed/29201849 http://dx.doi.org/10.13004/kjnt.2017.13.2.141 Text en Copyright © 2017 Korean Neurotraumatology Society http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Hyeong Rae
You, Nam Kyu
Seo, Sook Jin
Choi, Mi Sun
Concurrent Surgery of Craniectomy and Splenectomy as Initial Treatment in Severe Traumatic Head Injury: A Case Report
title Concurrent Surgery of Craniectomy and Splenectomy as Initial Treatment in Severe Traumatic Head Injury: A Case Report
title_full Concurrent Surgery of Craniectomy and Splenectomy as Initial Treatment in Severe Traumatic Head Injury: A Case Report
title_fullStr Concurrent Surgery of Craniectomy and Splenectomy as Initial Treatment in Severe Traumatic Head Injury: A Case Report
title_full_unstemmed Concurrent Surgery of Craniectomy and Splenectomy as Initial Treatment in Severe Traumatic Head Injury: A Case Report
title_short Concurrent Surgery of Craniectomy and Splenectomy as Initial Treatment in Severe Traumatic Head Injury: A Case Report
title_sort concurrent surgery of craniectomy and splenectomy as initial treatment in severe traumatic head injury: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702750/
https://www.ncbi.nlm.nih.gov/pubmed/29201849
http://dx.doi.org/10.13004/kjnt.2017.13.2.141
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