title: [Clinic analysis of 16 patients of craniocerebral trauma with Labbé vein injury].
abstract: OBJECTIVE
  To study the mechanism of Labbé vein injury, and its effect on traumatic cerebral infarction and prognosis in patients of craniocerebral trauma.
  
  
  METHODS
  The clinic imageology and data of 16 patients of craniocerebral trauma with Labbé vein injury approved intraoperatively from June 2006 to February 2009 were analyzed. To compare the effect of the intraoperative finding of Labbé vein damage and blood vessel treatment on traumatic cerebral infarction, and to analyze the traumatic cerebral infarction size and prognosis.
  
  
  RESULTS
  All the 16 patients had acute subdural hematoma and(or) intracerebral hematoma. And 15 of all the 16 patients with Labbé vein injury suffered from skull fractures. All patients accepted hematoma cleaning and intracranial decompression procedure by removing skull. The preoperative Glasgow coma scale (GCS) were as following: 5 patients being between 9 - 12, 7 patients being between 6 - 8 and 4 patients being between 3 - 5. Eight patients had cerebral hernia before operations on admission, and among them, 3 patients had corectasis of both sides and 5 patients had corectasis of only one side, the other 8 patients had no corectasis. Postoperatively, 14 patients suffered from traumatic cerebral infarction of different grades. After follow-ups of 24 months, 8 patients had relatively good prognosis, with 4 patients having good recoveries and 4 having middle disability; the other 8 had bad prognosis, including 3 patients being seriously disable and 5 kept vegetative state.
  
  
  CONCLUSIONS
  Impact injury and counterblow are the main reasons to the injury of Labbé vein, which consequently leads to serious traumatic cerebral infarction and bad prognosis. Intraoperatively, it is quite important to protect Labbé vein during the surgery, which should not be easily cut or obstructed by electric coagulation, and this is an effective way to improve the prognosis of these patients.
authors.affiliation: Department of Neurosurgery, the 98th Hospital of People's Liberation Army, Huzhou Zhejiang 313000, China. longls88@sohu.com
authors.forename: Lian-sheng
authors.initials: LS
authors.lastname: Long
authors.forename: Zhi-cheng
authors.initials: ZC
authors.lastname: Xin
authors.forename: Wei-ming
authors.initials: WM
authors.lastname: Wang
authors.forename: Zhao-hui
authors.initials: ZH
authors.lastname: Zhao
authors.forename: Jian-zhong
authors.initials: JZ
authors.lastname: Zhang
authors.forename: Xia-liang
authors.initials: XL
authors.lastname: Li
authors.forename: Chao-chao
authors.initials: CC
authors.lastname: Jiang
authors.forename: Qiang
authors.initials: Q
authors.lastname: Su
authors.forename: Zhong-hua
authors.initials: ZH
authors.lastname: Wu
mesh_terms: D000293:Adolescent; D000328:Adult; D002543:Cerebral Hemorrhage / Q000209:etiology / Q000601:surgery; D002550:Cerebral Veins / Q000601:surgery*; D006259:Craniocerebral Trauma / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D055815:Young Adult