Foramen magnum hernia, hernia from the cerebellum part, the oppression of the medulla oblongata; medullary central location is life, there is respiratory, cardiovascular and central sports centers, it is very dangerous for the oppressed. Then patients may first have irregular breathing and breathing sooner or later, without depth or sob respiration, then suddenly stopped breathing. Suddenly stop breathing, foramen magnum hernia is the only outstanding performance. TMH is mainly due to compression of the rostral here with the normal function of the little mind, So as a change of mind tentorium hernia so obvious. Herniation is often the cause of flow of patients, the direct cause of death. The high intracranial pressure in patients with symptoms, or if breathing suddenly stopped, should take into account whether there has been a timely foramen magnum hernia. spring for the rescue. Before the herniation is the best in active treatment to prevent the occurrence of cerebral hernia, in order to reduce the mortality rate of ECM.

260. What are the symptoms tentorium hernia?

Tentorium hernia patients, cerebral hernia from the bottom of the oculomotor nerve conduction pathway oppression. Pupil and eyeball movement will lead to changes. Oculomotor management and reduced pupil eye movement occurred herniation, the first side of the pupil may be reduced after the casual, Edge irregularly light reflex weakened or disappeared. Pupil side comparison, we can see the side, the side of the small. By oculomotor management, specifically in the eye that a few small muscle failure, thus eyeballs fixed gaze. Sometimes two eyeball with the downward attention was nothing but kind eyes are drooping eyelid (not even lift his eyelids). Oppression of the brain hernia, was in possession of some failures, patients may be restless, after a coma. So once meningitis patients irritability or convulsion, a sudden change of mind. side of the pupil, especially sudden changes and increased blood pressure, we must be highly vigilant whether there tentorium.

261. Do a lumbar puncture in patients with increased intracranial pressure in the cerebrospinal fluid disappear?

CSF investigation lumbar puncture one of the important means for the diagnosis of meningitis. Selected CSF general health and have no impact, no clear diagnosis of the patients, in order to clear diagnosis so as not to delay the treatment should be done lumbar puncture. But if high intracranial pressure, the amount of cerebrospinal fluid up fast or easy to promote the formation of brain herniation. Therefore, if the diagnosis had been more clearly this time, it is not necessary to lumbar puncture, as a result of herniation of the lumbar puncture-induced cases exist. If it is essential to conduct such inspections, we must caution that a small number of basic anesthesia can be upsetting, l hypertonic a dehydrating agent used after 2 hours. Fine needle are advised; Up less liquid, liquid and supine after 4-6 hours, and closely observe the patient's condition changes. timely treatment.

262. ECM meningoencephalitis-What are the main points of the diagnosis? .

ECM meningoencephalitis type attacks, conditions change rapidly, following their diagnosis.

(1) Early symptoms of increased intracranial pressure : The first is the outstanding performance of severe headache, irritability, convulsion or frequent vomiting and looking extremely pale, although a clear mind early, but quickly turn into lethargy. Depth may progress to a semi-conscious or unconscious, the dramatic change in the state of mind to add to the symptoms of increased intracranial pressure. We should pay special attention to.

(2) that there was severe symptoms of increased intracranial pressure : Early treatment is not promptly case. further development of disease, symptoms may occur. Dystonia increase is mainly manifested in the beginning was paroxysmal or persistent physical tonic upper extension internal rotation, a tight fist with both hands. lower extremity extending adductor; Pupil narrow and fixed, and the margin of the whole, or irregular pupil size, ignoring the big neglected small, varied, light reflex retardation. Foramen magnum hernia occurred after the pupil completely scattered on both sides of large and constant light reflex disappeared. Nobody was often eyeball staring downward figure; central respiratory failure and rapid breathing by the gradual reduction deboned, but also double suction or sighing respiration, respiratory rhythm is not sharp, apnea or breathing suddenly stopped.

This article was posted on 2007-02-27