Objective: To report the clinical data of two patients with cerebral contusion and laceration treated with puncture and drainage, and to conduct a literature review to provide clinical information for the treatment of cerebral contusion and laceration. Methods: Clinical data of two patients with cerebral contusion and laceration treated with trephination and drainage were collected. The patients had preoperative supratentorial intracerebral hematomas greater than 20 ml without cerebral herniation. Results: Both patients with cerebral contusion and laceration were able to take care of themselves upon discharge. Most of the intracerebral hematoma was drained on the third day after surgery. Conclusion: For patients with cerebral contusion and laceration who have intracerebral hematomas greater than 20 ml without cerebral herniation, puncture and drainage is an effective treatment option.
References
[1]
Jones, C., Ramsey, K., Beydoun, H.A. and Johnstone, B. (2023) Neuropsychological Deficit Profiles for Service Members with Mild Traumatic Brain Injury. Brain Injury, 37, 1116-1125. https://doi.org/10.1080/02699052.2023.2209739
[2]
Yao, G.J., Shen, Y.J., Gong, J., et al. (2014) Analysis of Therapeutic Effect of Cranial Puncture and Soft Channel Catheter Drainage on Cerebral Contusion and Laceration. Chinese Journal of Clinical Neurosurgery, 19, 400-402.
[3]
Juratli, T.A., Zang, B., Litz, R.J., Sitoci, K., Aschenbrenner, U., Gottschlich, B., et al. (2014) Early Hemorrhagic Progression of Traumatic Brain Contusions: Frequency, Correlation with Coagulation Disorders, and Patient Outcome: A Prospective Study. Journal of Neurotrauma, 31, 1521-1527. https://doi.org/10.1089/neu.2013.3241
[4]
Yu, Z.H., Zhou, Y.J., Sun, Y.C., et al. (2020) Risk Factors for Progression of Patients with Cerebral Contusion and Laceration Combined with Hematoma Formation. Chinese Journal of Neuromedicine, 19, 929-936.
[5]
Zou, Z.B., Zou, G.R. and Lou, Q.Y. (2020) Clinical Diagnosis and Treatment of Central Brain Hernia Caused by Bilateral Frontal Lobe Contusion and Laceration. Journal of International Neurology and Neurosurgery, 47, 399-403.
[6]
Morgenstern, L.B., Demchuk, A.M., Kim, D.H., Frankowski, R.F. and Grotta, J.C. (2001) Rebleeding Leads to Poor Outcome in Ultra-Early Craniotomy for Intracerebral Hemorrhage. Neurology, 56, 1294-1299. https://doi.org/10.1212/wnl.56.10.1294
[7]
Mendelow, A.D., Gregson, B.A., Rowan, E.N., Francis, R., McColl, E., McNamee, P., et al. (2015) Early Surgery versus Initial Conservative Treatment in Patients with Traumatic Intracerebral Hemorrhage (Stitch[Trauma]): The First Randomized Trial. Journal of Neurotrauma, 32, 1312-1323. https://doi.org/10.1089/neu.2014.3644
[8]
Yao, G.J., Wang, P.Y., Wang, J., et al. (2025) Effect of Surgical Timing on the Efficacy of Cranial Puncture and Soft Channel Catheter Drainage for Patients with Traumatic Brain Injury Complicated with Intracerebral Hematoma. Chinese Journal of Clinical Neurosurgery, 30, 1-5.
