Delayed parenchymal hemorrhagic brain injuries in the acute period of traumatic brain injury: features of the clinical course and therapeutic tactics
Abstract
A retrospective analysis of the results of treatment of 22 patients with severe traumatic brain injury complicated by delayed parenchymal hemorrhagic brain injuries (a generalized term that includes progressive foci of contusion and delayed intracerebral hematomas) in the acute period of traumatic brain injury, treated for the period from 2018 to 2020 on the basis of the GBUZ «Clinical hospital of emergency medical care» was carried out. The fatal outcome is directly influenced, first of all, by the volume of the hemorrhagic focus, the presence of intraventricular hemorrhage, the nature of the hemorrhage (meaning delayed parenchymal hemorrhages that developed as a result of a probable acute violation of cerebral circulation by the type of hemorrhagic stroke).
Also, the results of surgical treatment were unsatisfactory, since there are many pros and cons when deciding on the timing of surgery and the scope of surgical intervention, which requires further study of the mechanisms of occurrence and course of this pathology.
About the Authors
A. A. Pyak
N. P. Behtereva Institute of the Human Brain of the Russian Academy of Sciences
Russian Federation
Russian Federation
Saint Petersburg
A. I. Kholyavin
N. P. Behtereva Institute of the Human Brain of the Russian Academy of Sciences
Russian Federation
Russian Federation
Saint Petersburg
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Review
For citations:
Pyak A.A., Kholyavin A.I. Delayed parenchymal hemorrhagic brain injuries in the acute period of traumatic brain injury: features of the clinical course and therapeutic tactics. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2022;14(1-2):90-94. (In Russ.)
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