An emergency re-craniotomy after neurosurgery is serious and has a potentially devastating effect on patient *** aimed to characterize the clinical features of the patients who underwent an emergency re-craniotomy aft...
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An emergency re-craniotomy after neurosurgery is serious and has a potentially devastating effect on patient *** aimed to characterize the clinical features of the patients who underwent an emergency re-craniotomy after the selected *** reviewed the clinical manifestations, treatment and prognosis of a series of 110 cases that underwent emergency re-craniotomies after elective surgery in Beijing Tian Tan Hospital,Capital Medical University, Beijing, China, between Dec 2009 and Nov *** were 110 cases in this study, with a mean age of 45.5 years and with the age group of 50-59 accounting for the highest proportion (29/110, 26.4%).These cases accounted for 1.6% of the total elective surgery cases during the same period in our hospital The most common primary symptom before an emergency re-craniotomy in our cohort was unconsciousness in 49 patients (44.5%), followed by not returning to consciousness following the operation in 17 patients (15.5%) and headache in 10 patients (9.1%).The two periods of 0-8 hours (31/110, 34.4%) and 25-48 hours (18/110, 16.4%) after surgery showed bimodal characteristics for the time distribution of the emergency *** most common reason for an emergency re-craniotomy was a hematoma or hematoma with a contusion and laceration after the initial *** the second operation, 46.4% of the patients lived a normal life, 20.9% were mildly disabled, and 11.8% were in a vegetative state or *** conclusion, for inpatients that are indicated for surgery, perioperative management should be reinforced to decrease the necessity of performing emergency re-craniotomies.
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