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This kind of brain trauma may cause cerebral edema, generally on the 3rd day is the peak of cerebral edema, and then it will gradually recover, like your father's situation, after the intracranial hematoma is absorbed, the person is in good condition, and generally can be discharged, it is best to recheck the head CT once 3 days after the injury, and a week, a month, and 2 months or so, which is the safest. The hydrocephalus you are talking about (different from cerebral edema) generally appears after a few months, because after the subarachnoid hemorrhage, the blood components block the small hole responsible for cerebrospinal fluid absorption, and the cerebrospinal fluid absorption is reduced, as long as it is not a large amount of subarachnoid hemorrhage, it generally does not appear.
In addition, at the age of 56, you should pay special attention to the appearance of "chronic subdural hematoma", the principle is not detailed, generally about 2 months, there is dizziness, nonsense, and inconvenience in moving hands and feet, which is the reason why you want to recheck the head CT in 2 months. Unless the injury was very serious at the time, and the sequelae have the possibility of post-traumatic epilepsy, depending on your father's current situation, the primary injury should not be very serious, and if it is fine after 2 months, then basically there will be no more problems.
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According to the information provided by webappf netizens, your father is not out of danger at present, and should closely observe the changes in consciousness and regularly review the head CT, especially 3 days after the injury. As for the problem of hydrocephalus, as long as there is no obvious subarachnoid hemorrhage, the chance of hydrocephalus after trauma is relatively low, so please don't worry too much. After traumatic brain injury, there will be more or less sequelae, such as retrograde amnesia, but with the prolongation of time, brain function can basically recover, so please don't worry too much.
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Traumatic hydrocephalus is relatively common. Whether it is necessary or not** should be judged according to the following points:
First of all, it should be determined whether the patient has symptoms caused by hydrocephalus, simply put, the patient is abnormal, if the patient is normal. Surgery can be done. Repeat CT of the head regularly, and surgery should be considered if there is increased hydrops.
The surgery also requires looking at the area of the accumulated water. If fluid causes significant enlargement of the ventricles, surgery is required**. External ventricular drainage can be done first, and ventriculoperitoneal shunt should be considered if it fails.
If the ventricles are small and there is only subdural effusion, ventriculoperitoneal shunting is not necessary. Drilling and drainage may be done. Ventriculoperitoneal shunt, simply put, is to take the water in the head through an artificially buried root canal, lead to the abdominal cavity, and absorb it through the peritoneum.
The tube has a switch, which is a one-way valve, which is usually buried behind the ear, but when there are symptoms of hydrocephalus (usually a headache), the intracranial pressure increases, but the intracranial pressure increases to a greater pressure than the pressure set by the valve, and the excess water can flow through the abdominal cavity of the tube. Ascites in the abdominal cavity cannot reflux into the skull. This pipe is very expensive to import, and the switch is better.
It is not easy to block the pipe. Cerebrospinal fluid (CSF) protein is also high in blockage. Infection is also the cause of the blockage.
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This needs to be aimed at ****, most of the hydrocephalus is congenital, and a small part is caused by tumors.
It is divided into non-surgical** and surgical**. In general, mild hydrocephalus should be tried non-surgically**, with dehydration** and systemic support** as the main focus. Surgery** is indicated in cases where intraventricular pressure is high (more than 250 mm of water) or if non-surgical ** fails.
For severe hydrocephalus, such as head circumference of more than 50 cm, cerebral cortex atrophy thickness of less than 1 cm, and severe dysfunction and deformity, the surgical effect is not good.
Cerebrospinal fluid shunt is often used as surgery. Such as ventriculo-atrial shunt, ventriculo-sagittal sinus shunt, ventricle-abdominal shunt, etc. The latter procedure is safe, has fewer complications, and is used more often.
The shunt used is a device with a liquid reservoir and a pressure valve, and it is not transparent to X-rays to facilitate fluoroscopic examination.
After surgery, attention should be paid to prevent complications, such as clotting blocking the duct, intracardiac thrombosis, endocarditis, sepsis, etc.
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You can go to a tertiary hospital to see a neurosurgeon. Their opinions are generally not too outrageous. If surgery is required, an imported tube is recommended.
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Hydrocephalus is the cause of cerebral atrophy, and vice versa is usually not true.
Traumatic hydrocephalus should have a medical history—a basic history of trauma, and a relatively clear causal relationship between trauma and hydrocephalus.
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To be responsible for the body, it is best to have a professional doctor check it.
Tiantan Hospital in Beijing is the most authoritative hospital for traumatic brain injuries in China.
Hydrocephalus after traumatic brain injury, hang neurosurgery, bring your ID card, and if you have taken a brain CT, bring your ** and medical records.
There are a lot of people, and if you want to hang up an expert, it's best to make an appointment in advance.
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Shenjie monosialic acid tetrahexose ganglioside sodium injection. For **vascular or traumatic central nervous system injury; Parkinson's disease.
Pharmacological effects: Monosialic tetrahexose gangliosides promote the functional recovery of central nervous system damage due to various causes. The mechanism of action is to promote "neuroplasticity" (including the survival of nerve cells, axonal outgrowth and synaptic growth).
Monosialic tetrahexose gangliosides have a protective effect on secondary neurodegeneration after injury. Tetrahexose ganglioside monosialate has a positive effect on cerebral hemodynamic parameters as well as cerebral edema due to injury. Monosialic tetrahexose gangliosides reduce nerve cell edema by improving the activity of cell membrane enzymes.
Animal studies have shown that monosialic tetrahexose gangliosides can improve behavioral disorders caused by Parkinson's disease.
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[The best method of hydrocephalus].
1.The main surgeries for this disease** can be divided into three categories: (1) surgery to remove the cause of obstruction; (2) surgery to reduce cerebrospinal fluid secretion; (3) Cerebrospinal fluid shunt. a.External ventricular drainage bVentriculoperitoneal shunt.
2.If intracranial hypertension is evident before surgery, dehydration can be used to lower intracranial pressure**. Correction of cerebral edema and reduction of intracranial pressure are based on 20 mannitol, furosemide, dexamethasone, and even human albumin.
3.Symptomatic, infection prevention, nerve nutrition, etc.
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There are many hydrocephalus, according to the hydrocephalus in clinical medicine, hydrocephalus can be divided into primary hydrocephalus and primary hydrocephalus, hydrocephalus caused by traumatic brain injury, belonging to primary hydrocephalus, because many people do not know about hydrocephalus in life, when traumatic brain injury occurs, it is not clear how to deal with the delay of the condition, so in order to further improve the understanding of hydrocephalus, the obvious level of hydrocephalus caused by traumatic brain injury and its hydrocephalus ** immediate practical effect, So let me explain them to you one by one.
Hydrocephalus caused by traumatic brain injury is usually more severe and can easily cause intracranial hypertension. Usually, the examination should be carried out according to the method of imaging diagnosis, and if it is more urgent, it must be considered to carry out the first solution according to the method of surgery. If there is damage to brain tissue, it is necessary to promote the repair according to the nutrients of the brain nerves.
If perceptual impairment has occurred, it is necessary to repair and improve as much as possible in the middle and later stages according to the nutritional neurological substances and the way of comprehensive recovery.
For hydrocephalus, if it is carried out immediately, it is generally not a big problem, and it is actually necessary to carry out analysis according to the duration of the concurrent disease and the obvious level of the disease. If it has already caused an increase in intracranial pressure or caused brain tissue damage, it can be stabilized immediately to avoid aggravation of brain tissue damage. However, it will also cause certain complications of perceptual impairment in the middle and late stages, and if the condition is relatively mild, immediate manipulation** can completely recover in the middle and late stages.
If there is already a perceptual impairment, it must be repaired according to the way of recovery, otherwise complications are more likely to occur in the middle and later stages, which will endanger daily life.
If traumatic brain injury causes hydrocephalus, the obvious level is confirmed by intracranial pressure, if there is a significant increase in intracranial pressure, it indicates that the condition is more serious and must be carried out as soon as possible**, if there is no significant increase in intracranial pressure, it is recommended to go to a medical institution for further examination to prevent misdiagnosis. If the patient with hydrocephalus is immediately cured, the probability of recovery is very high, but if the disease is more severe, there may be certain complications, which will cause certain obstacles to the autonomic nervous system of the body.
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It's serious, the human brain is very important, and it must be timely when there is a problem in the brain. Your brain will be healthy and there will be few complications.
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Hydrocephalus caused by trauma is more serious, if it is carried out in time, the general problem will not be too big, and the specific situation should also be based on the severity of the condition, if it has caused an increase in intracranial pressure or brain tissue has been damaged, after doing the corresponding **, it is necessary to carry out **** to avoid complications.
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Usually the fluid caused by the brain will be more serious, if the brain tissue damage will be reduced in time, but there may be sequelae of dysfunction later.
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This is a very serious situation, which is likely to cause serious trauma to your brain, a great decline in your intelligence and memory, and it is likely to cause yourself to go into shock or die. If you want hydrocephalus, you should first go to the hospital for relevant examinations and inquiries, go to some surgeries, you can choose to maintain them in time after the operation, take some related drugs, and pay more attention to supplementing the nutrients you need.
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Not necessarily, this condition may also be one of the symptoms of the sequelae of traumatic brain injury, and the secondary pre-condition needs to be determined by a detailed examination.
After-traumatic brain syndrome, also known as post-traumatic brain syndrome, refers to the long-term presence of autonomic dysfunction or psychiatric disorders in patients with traumatic brain injury after the recovery period. These symptoms include headaches, nervousness, irritability, concentration disorders, memory problems, dizziness, insomnia, fatigue, and other symptoms. The neurological examination was unremarkable, and the neuroradiological examination was not positive.
Post-traumatic brain syndrome occurs when symptoms persist for more than 3 months after traumatic brain injury and do not improve. Typically, these patients usually have mild or moderate closed head injuries without severe neurological damage. The following are the symptoms of the sequelae of traumatic brain injury.
Post-traumatic brain injury refers to those that occur after traumatic brain injury. Seizures are caused by abnormal electrical discharges of neurons in the brain and occur in 10% of patients with severe nonpenetrating brain injuries and 40% of patients with penetrating brain injuries, and can occur years after traumatic brain injury. The type of seizure is related to the location of the origin of the abnormal discharge.
The symptoms of the sequelae of traumatic brain injury are:
1. Generalized tonic-clonic seizures (grand mal seizures).
Refers to the onset of generalized muscle twitching and loss of consciousness. Birth trauma, traumatic brain injury, brain tumors, etc. are more common. Tonic-clonic seizures can occur at any age and are the most common type of seizure.
Its typical seizures can be divided into four clinical stages: aura stage, tonic stage, clonic stage, and recovery stage. During the attack, EEG shows a typical burst of spikes and a combination of spike-slow waves, each of which may be accompanied by muscle beats.
2. Simple partial seizures.
It refers to the symptoms corresponding to the function of the part of the brain caused by the local cortical discharge, including motor, sensory, autonomic, and psychiatric symptoms and signs. They were divided into four groups: those with motor symptoms; Those with somatosensory or special sensory symptoms; Patients with autonomic symptoms and signs; Patients with psychiatric symptoms.
3. Complex partial seizures.
It is customarily called psychomotor seizures with impaired consciousness. Auras usually occur before or when loss of consciousness is imminent, so patients can still recall after the seizure.
4. Absence seizures (petit mal seizures).
It typically presents with transient impairment of consciousness without aura or postictal symptoms.
5. Continuity.
A single seizure lasts longer than 30 minutes, or a single seizure is so frequent that the patient has not fully recovered from the previous seizure and another seizure lasts more than 30 minutes. Status quolia is an emergency that requires resuscitation.
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The three major symptoms of hydrocephalus are: dementia (memory loss), unsteady walking, and incontinence. If the above symptoms are progressively worsened, ventriculoperitoneal shunt may be considered.
Dr. Lu Xueming of the Xuliang Hospital of the General Doctor of Jinan Military Region solemnly reminded that because the patient cannot be seen face-to-face and cannot fully understand the condition, the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! )
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Strictly speaking, cerebral swelling, encephalocele, and hydrocephalus are not obvious; There is an epidural hematoma in the left parieto-occipital region and blood next to the falx of the brain. These are the main causes of brain swelling and bulging silver. It is necessary to solve the problem of the search banquet.
Dr. Kuang Weiping of the Second People's Hospital of Hunan Province solemnly reminded that because the patient cannot be seen face-to-face, and the patient cannot be missed or fully understood, the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! )
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Analysis: Hello friend, hydrocephalus is caused by the disorder of cerebrospinal fluid production or circulation absorption, resulting in excessive cerebrospinal fluid volume and increased pressure.
Guidance: Hello, the common causes of hydrocephalus in children are: 1. Congenital malformations; 2. Fibrous hyperplasia caused by intracranial hemorrhage after intracranial hemorrhage, intracranial hemorrhage and malabsorption of birth injury, etc., if the baby does not have intracranial hemorrhage after the fall, it is considered unrelated to the fall, if the head CT after the fall shows that there is intracranial hemorrhage, then the state hydrocephalus is considered to be related to the fall.
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