Basal cisternostomy for traumatic brain injury: A case report of unexpected good recovery

作     者：Manuel De Jesus Encarnacion Ramirez Rossi Evelyn Barrientos Castilo Anton Vorobiev Nikita Kiselev Amaya Alvarez Aquino Ibrahim E.Efe Manuel De Jesus Encarnacion Ramirez;Rossi Evelyn Barrientos Castillo;Anton Vorobiev;Nikita Kiselev;Amaya Alvarez Aquino;Ibrahim E. Efe

作者机构：Department of Neurosurgery Russian People's Friendship UniversityMoscowRussia Department of NeurosurgeryMunicipal HospitalPodolskRusia Department of Neurosurgery International Center for Neurological RestorationHavanaCuba Charite-Universitatsmedizin BerlinCorporate Member of Freie Universitat BerlinHumbold-Universitat zu BerlinAnd Berlin Institute of HealthBerlinGermany 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2022年第25卷第5期

页      面：302-305页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：Basal cisternostomy Cerebral edema Decompressive craniectomy Neurotrauma Traumatic brain injury 

摘      要：In subarachnoid hemorrhage following traumatic brain injury (TBI), the high intracisternal pressure drives the cerebrospinal fluid into the brain parenchyma, causing cerebral edema. Basal cisternostomy involves opening the basal cisterns to atmospheric pressure and draining cerebrospinal fluid in an attempt to reverse the edema. We describe a case of basal cisternostomy combined with decompressive craniectomy. A 35-year-old man with severe TBI following a road vehicle accident presented with acute subdural hematoma, Glasgow coma scale score of 6, fixed pupils and no corneal response. Opening of the basal cisterns and placement of a temporary cisternal drain led to immediate relaxation of the brain. The patient had a Glasgow coma scale score of 15 on postoperative day 6 and was discharged on day 10. We think basal cisternostomy is a feasible and effective procedure that should be considered in the management of TBI.