Introduction
Brain swelling is a dangerous condition that can occur during neurosurgery on the brain. It is characterized by a rapidly increasing protrusion of the brain matter through a burr hole in the skull and can lead to serious complications and even death of the patient. In this article we will look at the causes, symptoms and treatments for this condition.
Causes
The main cause of brain swelling is damage to the dura mater (membrane) during surgery. This occurs due to the careless movement of the surgeon or the inexperience of the doctor in cases of performing neurosurgery on a patient with severe pathology. As a result of membrane rupture, cerebrospinal fluid, filling the space between the brain tissue and the skull, enters the trepanation cavity and pushes out the brain matter.
A common cause of bulge is the presence of massive intracranial volume in the patient caused by the presence of tumors, hemorrhages, hydrocephalus and other conditions. For example, midbrain tumors can press on the dura mater and cause it to rupture. Soft tissue injuries and skull fractures can also cause dural rupture.
Other causes include poor anesthesia, sudden changes in blood pressure, problems with blood clotting, and improper use of various neurosurgical instruments.
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==The Oxford English Dictionary states that the 17th-century Latin term "insulta fissio" means "a rapid, sudden state of swelling of the brain." The phenomenon of brain transformation is known as “sudden brain swelling.” In neurosurgery, the term “acute brain bulge” is used - this is the initial stage of this disease and is defined as a moderately pronounced bulge of brain tissue less than 3 cm above the skull bone[1].==
Translation: “Brain Bulging” For the Article Use the Description Below: - Acutely Onset Severe Bulging of the Brain Substance Into the Burr Hole During Neurosurgical Operation.
The phenomenon of suddenly running out of the brain is an acute attack
Often, with traumatic brain injuries, fractures of the base of the skull, accompanied by severe displacement of fragments, or damage to the base of the brain, surgery is required to remove (drainage) the hematoma, or for cranioplasty (elimination of a defect in the base of the skull), as well as to increase intracranial pressure in cases of tumor brain, disrupting the ventilation of the respiratory center, or Arnold-Chiari anomaly.