Complications of post-injury decompressive craniectomy

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Decompressive craniectomy in diffuse traumatic brain injury.

BACKGROUND It is unclear whether decompressive craniectomy improves the functional outcome in patients with severe traumatic brain injury and refractory raised intracranial pressure. METHODS From December 2002 through April 2010, we randomly assigned 155 adults with severe diffuse traumatic brain injury and intracranial hypertension that was refractory to first-tier therapies to undergo eithe...

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Decompressive Craniectomy.

Decompressive Craniectomy (DC) is used to treat elevated intracranial pressure that is unresponsive to conventional treatment modalities. The underlying cause of intracranial hypertension may vary and consequently there is a broad range of literature on the uses of this procedure. Traumatic brain injury (TBI), middle cerebral artery (MCA) infarction, and aneurysmal subarachnoid hemorrhage (SAH)...

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Decompressive craniectomy in severe traumatic brain injury: prognostic factors and complications

OBJECTIVE To analyze the clinical characteristics, complications and factors associated with the prognosis of severe traumatic brain injury among patients who undergo a decompressive craniectomy. METHODS Retrospective study of patients seen in an intensive care unit with severe traumatic brain injury in whom a decompressive craniectomy was performed between the years 2003 and 2012. Patients w...

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Optimal timing of cranioplasty after post-injury decompressive craniectomy: a case control study

Background: Cranioplasty after postinjury decompressive craniectomy (DC) is routinely performed with a threemonth delay to avoid the risk of infection and other complications. Recent experience suggests that performing Cranioplasty surgery at shorter period than three months following DC not only may not cause more infections, but also has the privilege of easier dissection, less bleeding, and ...

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Outcomes of decompressive craniectomy in patients after traumatic brain injury.

OBJECTIVE Traumatic brain injury (TBI) can result in cerebral oedema and vascular changes resulting in an increase in intracranial pressure (ICP), which can lead to further secondary damage. Decompressive craniectomy (DC) is a surgical option in the management of ICP. We aimed to investigate outcomes of DC after TBI. DESIGN We performed a retrospective audit of 57 adult patients (aged > 15 ye...

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ژورنال

عنوان ژورنال: International Journal of Critical Illness and Injury Science

سال: 2012

ISSN: 2229-5151

DOI: 10.4103/2229-5151.100937