For patients, brain nerve damage can affect their life, work, and even self-care ability, so attention should be paid to the correct treatment and recovery methods of brain nerve damage. Minimally invasive surgery and physical therapy can repair damaged nerve cells. 1. Non-surgical treatment (1) Dehydration drugs relieve intracranial pressure and neural edema. 150-200 ml of 20% mannitol is commonly used for intravenous drip, 1-2 times a day. (2) Glucocorticoid therapy protects nerves. Dexamethasone 10 mg is usually given by intravenous drip 1 to 2 times a day. (3) Drugs commonly used to dilate blood vessels and improve microcirculation include 10 mg of Nimotop, administered intravenously 1 to 2 times a day. Low molecular weight dextran 500ml intravenous drip 1 to 2 times a day. (4) Common neurotrophic and metabolic drugs include energy mixture, cerebrolysin, GM1, nerve growth factor and Insurable. Methiconazole was administered by intravenous drip at a rate of 500 μg, 1 to 2 times a day. After 10 days, it was changed to oral administration at a rate of 0.5 mg, 3 times a day. 2. Surgical treatment (1) Indications for surgery: ① The fracture fragments compress the cranial nerves. ②Intracranial pressure continues to increase and cranial nerves are compressed. ③Non-surgical treatment is ineffective. ④Cause severe nerve irritation symptoms such as dizziness and neuralgia in the later stage. (2) Preoperative preparation: The site of nerve damage is determined through imaging, electrophysiology and clinical manifestations; the nerves and muscles for transplantation are selected. (3) Surgical methods: ① Nerve decompression, through intracranial or extracranial approach, using a drill to remove bone fragments compressing the nerve, clear the hematoma around the nerve, and cut the epineurium under a microscope, such as optic canal and facial nerve canal decompression; ② Nerve reconstruction, including: direct reconstruction, such as direct anastomosis of nerve ends and nerve transplantation anastomosis; indirect reconstruction, such as facial nerve-accessory nerve anastomosis; plastic surgery, such as corner of mouth suspension or temporalis and masseter muscle transfer for patients with facial paralysis; cranial nerve destruction, such as selective resection of the trigeminal sensory root to treat trigeminal neuralgia. 3. Exercise therapy Stretch muscles to relieve high muscle tension; maintain joint mobility and prevent joint contracture; and induce muscle strength training. Note: After brain damage, the damaged part loses its innervation function, so the limbs become paralyzed. Through motor relearning, the innervation area around the damaged area is reestablished and function is regained. |
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