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Decompressive craniectomy in diffuse traumatic brain injury.
Decompressive craniectomy has been suggested for patients with conditions refractory to medical management (20,21).
Most neurosurgeons do a decompressive craniectomy on one side of the head, where the trauma was," The Courier Mail quoted Welling as saying.
Decompressive craniectomy is described as a surgical procedure in which part of the skull is removed to allow a swelling brain room to expand without being squeezed.
For example, the absolute risk of mortality was halved with early decompressive craniectomy versus medical therapy alone in a recent, 38-patient French study; but the trial was concluded early because of slow recruitment.
Despite the decompressive craniectomy, however, his ICP climbed and remained above 20 mm Hg.
The drop in the DBD is multifactorial, including but not limited to: better road traffic rules contributing to decreased trauma; changes in neuro-intensive care; and neurosurgical practices such as decompressive craniectomy, leading to a decrement in brain death (20,21).
Glasgow Coma Scale level was 3 on April 15, and a decompressive craniectomy was done.
Decompressive craniectomy involves removal of part of a patient's skull to allow a swelling brain room to expand without being squeezed
Decompressive craniectomy for space-occupying supratentorial infarction: Rationale, indications, and outcome.
A modern approach is to identify patients who are not responding adequately to medical measures for reducing intracranial pressure early and to perform an adequate controlled decompressive craniectomy while avoiding hypertension in the postoperative phase.
The role of decompressive craniectomy in the management of severe traumatic brain injury remains controversial.