K I Mathai1, P K Sahoo. 1. Department of Neurosurgery, Armed Forces Medical College, Pune, India.
Abstract
INTRODUCTION: Decompressive Craniectomy is an effective option in the management of intractable intracranial hypertension. AIM AND OBJECTIVES: Neuronal conservation can be achieved by aggressive decompression (hemicraniectomy). MATERIAL AND METHODS: In this series 12 patients with a Glasgow Coma Scale score of 8 or <8 with increased intracranial pressure underwent decompressive hemicraniectomy. RESULTS: The outcomes were prospectively evaluated. Eight patients were victims of traumatic brain injury. There were two patients who had suffered malignant Middle Cerebral Artery Infarctions, one patient had a cerebral venous thrombosis and one, an intracerebral hematoma. Four patients in this cohort died, while five had good outcomes. CONCLUSION: The rationale and role of this relatively easy but underutilised procedure are discussed.
INTRODUCTION: Decompressive Craniectomy is an effective option in the management of intractable intracranial hypertension. AIM AND OBJECTIVES: Neuronal conservation can be achieved by aggressive decompression (hemicraniectomy). MATERIAL AND METHODS: In this series 12 patients with a Glasgow Coma Scale score of 8 or <8 with increased intracranial pressure underwent decompressive hemicraniectomy. RESULTS: The outcomes were prospectively evaluated. Eight patients were victims of traumatic brain injury. There were two patients who had suffered malignant Middle Cerebral Artery Infarctions, one patient had a cerebral venous thrombosis and one, an intracerebral hematoma. Four patients in this cohort died, while five had good outcomes. CONCLUSION: The rationale and role of this relatively easy but underutilised procedure are discussed.
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