-
Application of Damage Control Neurosurgery and Corresponding Nursing Strategy in Patients with Bilateral Frontal Lobe Contusion and Laceration
Huixuan Chen,
Yanhong Xie,
Weiju Chen,
Cuiqing Liu,
Jiaming Wu,
Keen Chen
Issue:
Volume 4, Issue 2, June 2020
Pages:
24-28
Received:
2 March 2020
Accepted:
1 April 2020
Published:
23 April 2020
Abstract: Objective: To investigate the key points and effect of damage control neurosurgery (DCNS) and nursing strategy of patients with neurosurgery in bilateral frontal contusion. Methods: According to the principle of damage control nursing strategy of neurosurgery, 33 cases of bilateral frontal contusion from September 2017 to January 2019 were treated by adjusting the internal environment disorder after trauma, increasing plasma osmotic pressure and maintaining blood oxygen saturation, craniotomy and decompression operations when patients grew worse. Patients were followed up for 6 months with the corresponding nursing practice given to the patients out of hospital. Results: Among the 33 cases, 25 of them received successful conservative treatment, 8 were converted to surgery. The operation rate was 24.2%. Six months after treatment, there were 27 cases with GOS ≥ 4, including 22 cases GOS ≥ 4 in the conservative treatment group and 5 cases GOS ≥ 4 in the surgery transfer group. Conclusion: The application of DCNS in the treatment of bilateral frontal contusion and take appropriate nursing strategy intervention can reduce the operation rate, prevent complications and promote patient’s recovery.
Abstract: Objective: To investigate the key points and effect of damage control neurosurgery (DCNS) and nursing strategy of patients with neurosurgery in bilateral frontal contusion. Methods: According to the principle of damage control nursing strategy of neurosurgery, 33 cases of bilateral frontal contusion from September 2017 to January 2019 were treated ...
Show More
-
Characteristics of Epilepsy in Children with Cerebral Palsy
Denis Fiolita,
I Gusti Ngurah Made Suwarba,
Dewi Sutriani Mahalini
Issue:
Volume 4, Issue 2, June 2020
Pages:
29-32
Received:
10 May 2020
Accepted:
27 May 2020
Published:
4 June 2020
Abstract: Cerebral palsy is a disorder of movement and posture due to disruption of the immature motoric cells in central nervous systems. It is characterized by various neurological abnormalities, one of them is epilepsy. Epilepsy is difficult to control, as it is able to aggravate motor disorders and disrupt cognitive function, ultimately worsening the long-term outcome. This research aims to determine the characteristics of epilepsy in children with cerebral palsy. A cross-sectional study was done based on medical records data Pediatric Outpatient Department and Medical Rehabilitation Installation Sanglah Hospital from January 2016 until June 2018. Eighty-four samples were included. Most of the samples were female (53.6%) with mean of age was 64 months and onset of epilepsy was 21 months. Regarding to nutritional status, most of them with undernutrition (44%). Based on birth history, 66.7% of them was born by spontaneous delivery, 34.5% with asphyxia and 82.1% were normal birth weight. Generalized seizure was the most common type of seizure (81%). Most types of cerebral palsy were spastic type (94%). History of seizures at <1 year of age was 63.1%. History of central nervous system infection was 15.5%. The most brain abnormalities was microcephaly (34.5%). Abnormal EEG results were about 91.7%, with family history of seizures was 1.2%. Frequency of polytherapy with anti-epileptic drugs was 69%. The most common type of cerebral palsy in this research was spastic type. Generalized seizure was the most common type of seizure in epilepsy children with cerebral palsy. Most of them have abnormal EEG results and need more than one anti-epileptic therapy.
Abstract: Cerebral palsy is a disorder of movement and posture due to disruption of the immature motoric cells in central nervous systems. It is characterized by various neurological abnormalities, one of them is epilepsy. Epilepsy is difficult to control, as it is able to aggravate motor disorders and disrupt cognitive function, ultimately worsening the lon...
Show More
-
Morbimortality of Stroke in Dakar: An Unusual Pulmonary Complication
Sow Adjaratou Dieynabou,
Ewodo Touna Hilaire Dominique,
Coudjou Ghislain De Chacus,
Saphou-Damon Michel-Arnaud,
Ekanmian Brandon Gael,
Basse Anna Modji,
Atsa Kouda Daniel,
Frank Ladys Banzouzi,
Amadou Gallo Diop
Issue:
Volume 4, Issue 2, June 2020
Pages:
33-37
Received:
20 May 2020
Accepted:
1 June 2020
Published:
16 June 2020
Abstract: Introduction: In sub-Saharan Africa, acute stroke management is lacking, as is etiological research and gestion of the common complications, often resulting in patients’ death. Atelectasis, is the complete or partial collapse of an area (lobe) of the lung; it is one of the most common respiratory complications after surgery. However, atelectasis is a relatively rare lung disease following a stroke. Case presentation: We report the case of an 84-year-old man, non-alcoholic-smoking and irregularly followed for high blood pressure on a heart disease for several years. He suddenly presented a right brachiofacial spastic hemiplegia with aphasia, rapidly followed by consciousness' troubles correlated with a mixed-mechanism ischemic stroke: embolic and atheromatus. After clinical improvement under symptomatic treatment, he suddenly presented an acute febrile respiratory distress at day 7 of hospitalization causing a suspected pulmonary embolism but with evidence on thoracic CT scan of a bilateral pleuropneumopathy with near-total atelectasis of the left lung. Evolution was unfavourable after a 15-day transitional improvment. Conclusions: Although unusual, an pulmonary atelectasis should be sought in cases of acute rebellious respiratory distress on a patient with a stroke. Management must be quick and collaborative to improve prognosis. Also, it is essential in our African context to systematize and repeat chest X-rays in case of leukoariosis on brain imaging, which is a fertile ground for the occurrence of pseudo-bulbar disorders, especially deglutition troubles.
Abstract: Introduction: In sub-Saharan Africa, acute stroke management is lacking, as is etiological research and gestion of the common complications, often resulting in patients’ death. Atelectasis, is the complete or partial collapse of an area (lobe) of the lung; it is one of the most common respiratory complications after surgery. However, atelectasis is...
Show More
-
Craniosynostosis – A Case Series and a Brief Review of Literature
Sibhi Ganapathy,
Swaroop Gopal
Issue:
Volume 4, Issue 2, June 2020
Pages:
38-43
Received:
16 May 2020
Accepted:
29 May 2020
Published:
28 June 2020
Abstract: Introduction: Craniosynostosis is an uncommon disorder affecting the growing skull. Timely surgery and physical therapy can give excellent results restoring neurological function and cosmesis. However, miss the appropriate juncture, and severe consequences will follow. Concerns include late presentation, surgical morbidity. Case Series: We present our institutional experience of varied syndromes who presented to a tertiary care institution between 2016 and 2018 along with the course in hospital complete with surgery and rehabilitation. We also supplement this with a short review of literature. The article stresses on the need to differentiate syndromic and simple craniosynostosis as well as in their specific management strategies complete with procedure assessment and complications. Result: A series of syndromic and simple craniosynostosis operated early lead to optimal cosmetic results with minimal or no long-term neurological deficits. The approach emphasises the need for early treatment to ensure excellent cosmesis and to avoid neurological and developmental disorders.
Abstract: Introduction: Craniosynostosis is an uncommon disorder affecting the growing skull. Timely surgery and physical therapy can give excellent results restoring neurological function and cosmesis. However, miss the appropriate juncture, and severe consequences will follow. Concerns include late presentation, surgical morbidity. Case Series: We present ...
Show More
