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Youmans Neurological Surgery Vol 4

Surgical Management of
Traumatic Brain Injury
Ventriculostomy
• 2 basic purpose
• Measuring ICP
• Drainage CSF
Exploratory Bur Holes

• Seldom  No CT scan
Large Craniotomy

• High incidence  temporal + frontal contusions  tear midline


bridging veins
Epidural Hematoma
Intraparenchimal Hemorrhage
Posterior Fossa Hematoma
Depressed Skull Fracture
Compound Frontal Sinus injury
Depressed Fracture Over Sinus

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