Sequelae of craniocerebral injury commonly include skull defect, traumatic epilepsy, post-traumatic brain syndrome, cognitive dysfunction, etc. Different sequelae need to be given surgical treatment, medication and psychological treatment according to doctor’s prescription.
1. Cranial defects: the treatment is to perform cranial repair surgery, and defects >3cm should be repaired. The purpose of surgery is to protect brain tissue, relieve clinical symptoms and restore aesthetics. Repair materials can be categorized into autologous and allogeneic materials.
2. Traumatic epilepsy: treatment is based on antiepileptic drugs, commonly used drugs such as carbamazepine and sodium valproate. Drug use must take into account the efficacy, adverse effects and compliance. After two years of complete control of epilepsy, drugs can be gradually reduced under the guidance of doctors. For advanced epilepsy that is ineffective in drug treatment and found to have localized epileptogenic foci, surgical treatment can be carried out.
3. Post-traumatic brain injury syndrome: the main comprehensive treatment, first of all, do a good job of the patient’s ideological work, so that it maintains an optimistic state of mind, as appropriate, the use of Chinese and Western medicines symptomatic treatment. For post-traumatic stress disorder caused by craniocerebral trauma, it mainly relies on psychological and drug treatment, and commonly used drugs include paroxetine and sertraline.
4. Cognitive dysfunction: non-pharmacological treatment includes cognitive behavioral training, computer-assisted training system training, etc. At present, there is no specific drug, and amantadine and methylphenidate are commonly used in the clinic.
For patients with sequelae of craniocerebral injury, they should go to the relevant departments of regular hospitals and be treated under the guidance of professional physicians.