Patient's question:
The doctor diagnosed a rotational brain injury. Currently, it is in the stage of cerebral edema. After 9 days of being in a coma, the eyes can open but vision is not restored, and there is partial hearing!Doctor's answer:
Analysis of the condition: Closed traumatic brain injury refers to a type of brain injury where the dura mater remains intact, although the scalp and skull may have open wounds. Since the contents of the cranial cavity do not communicate with the external environment, it is still referred to as a closed traumatic brain injury. More precisely, it should be termed closed brain injury, as the scalp and skull, which belong to the cranial region, can have open injuries. Based on the causative factors and secondary damage, the former refers to a series of pathological and physiological changes that occur immediately after the moment of violent impact on the brain tissue, such as intracranial hematoma, cerebral edema, and swelling.Recommendations: Treatment methods:
1. Craniostomy with drainage: Suitable for subacute and chronic subdural hematoma, as well as acute subdural effusion.
2. Craniotomy with hematoma evacuation: Suitable for various types of acute intracranial hematoma and delayed intracranial hematoma.