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KMID : 0378119800070020255
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Chungnam Medical Journal
1980 Volume.7 No. 2 p.255 ~ p.262
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A Clinical Study of Cerebral Edema
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Abstract
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The study of cerebral swelling has occupied investigators since the dawn of the neurosurgical science.
Nearly all form of insults to the brain can upset cerebral water balance and lead to edema. The progressive brain swelling ultimately causes a rise in intracranial pressure and present neurosurgeons grave challenge in clincal practice.
In this study, a clinical analysis on 209 cases of cerebral edema which were admitted into department of neurosurgery, Chungnam National Univerity Hospital from Jan. 1978 to Oct. 1980 were done and following results were obtained.
1. The commonest causes of cerebral edema was trauma(59. 8%) and the others were cerebrovascular accident(21. 5%) and brain tumror(15.8%) in that order.
2. Various degree of consciousness disturbance was observed in 65. 1% _ of patients while oculomoter nerve palsy in 36.8% and decerebrated rigidity in 15.3% of patient.
3. 83. 7% of cases showed localized edema around the pathological lesion or confined to one cerebral hemishere making shift of midline.
However 16. 3% of patients showed no midline shift while there was definite clinical sign of increased intracranial and diffuse rarefaction of density on C-T scan. C-T scan has proved great value assesing status of cerebral edema.
4. 44% of patient were underwent surgical removal of space occupying lesion with or without dhcompressive surgery. Tracheostomy also was performed in 42% of patients with great benifit. Hypertonic solution and corticosteroid also proved value for the control of brain edema.
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