Clinical application of tentorium cerebelli hiatus incision in treatment of severe and most severe brain injuries.
OBJECTIVE
To explore the role of tentorium cerebelli hiatus incision in treating severe and most severe brain injuries complicated by tentorial herniation.


METHODS
From July 1994 to July 1999 tentorium cerebelli hiatus incision was done based on intracranial hematoma evacuation and bone flap craniectomy decompression in 70 cases of severe and most severe brain injuries complicated by tentorial herniation.


RESULTS
Of the 70 cases, GCS 3-5 was in 23 and GCS 6-8 in 47; satisfactory recovery in 39 cases (55.7%), moderate disability in 12 (17.1%), severe deficit in 6 (8.6%), vegetative survival in 4 (5.7%) and 8 (11.4%) died.


CONCLUSIONS
Tentoriun cerebelli incision is helpful in alleviating secondary brain stem injury from tentorial herniation and in reducing the disability and death rate of the patients.
Cai
X
X
Nanjing Military District Neurosurgical Centre, Department of Neurosurgery, 101st Hospital of PLA, Wuxi, Jiangsu, 214044, China.
Wang
Y
Y
Chen
Z
Z
Hu
K
K
Fang
W
W
Shi
Z
Z
Liu
B
B
Dong
J
J
D000293:Adolescent; D000368:Aged; D001930:Brain Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D002531:Cerebellum / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed