BACKGROUND AND PURPOSE There are uncertainties surrounding the optimal management of patients with brain swelling after an ischemic stroke. Guidelines are needed on how to manage this major complication, how to provide the best comprehensive neurological and medical care, and how to best inform families facing complex decisions on surgical intervention in deteriorating patients. This scientific...

Extra-axial fluid collections are known consequences of decompressive hemicraniectomy. Studies have examined these collections and their management. We retrospectively reviewed 12 consecutive patients who underwent decompressive hemicraniectomy for the treatment of malignant cerebral edema after infarction and evaluated the evolution, resolution and treatment of post-operative extra-axial fluid...

BACKGROUND Intracranial hypertension can cause secondary damage after a traumatic brain injury. Aggressive medical management might not be sufficient to alleviate the increasing intracranial pressure (ICP), and decompressive craniectomy (DC) can be considered. Decompressive craniectomy can be divided into categories, according to the timing and rationale for performing the procedure: primary (d...

Intracranial hypertension is the largest cause of death in young patients with severe traumatic brain injury. Decompressive craniectomy is part of the second level measures for the management of increased intracranial pressure refractory to medical management as moderate hypothermia and barbiturate coma. The literature lack of concepts is their indications. We present a review on the state of t...

Background: Post traumatic hydrocephalus (PTH) is a commonest treatable complication of severe traumatic brain injury that’s leads to failure of improvement and worsening of the outcome. Incidence of posttraumatic hydrocephalus is 0.7%-29% reported in different literature. We have observed the development of PTH frequently seen in patients with severe head injury and after decompressive craniec...

BACKGROUND Intracranial hypertension is a well-known life-threatening complication of bacterial meningitis. Investigations on decompressive craniectomy after failure of conservative management are scarce, but this surgical treatment should be considered and performed expeditiously, as it lowers the intracranial pressure and improves brain tissue oxygenation. Early cranioplasty can further aid t...

INTRODUCTION Giant frontal mucocele (GFM) is an extremely rare cause of frontal lobe syndrome. Subdural empyema (SDE) is an uncommon complication of paranasal sinisutis, for which craniotomy and decompressive craniotomy are the most effective surgical procedures. CASE REPORT A 54-year-old man was brought unconscious to the Emergency Room where recurrent generalized seizures occurred. Heroine ...

AIM The association between post-decompressive hydrocephalus and clinical neurological expression is still unclear. In order to investigate this relationship, the authors analyze series of ventricular morphology and level of consciousness at different clinical stages for patients accepting decompressive craniectomy (DC). MATERIAL AND METHODS From 2005 to 2011, 13 patients accepting DC under t...

6. Post-operative evaluation of patients Computerized tomography and magnetic resonance scans should be carried out at 7, 30, 90, 180 and 365 days after PDT. Any recurrence must be measured antero-posteriorly and latero-laterally; the data must be correlated with the neurological check-up and Karnofsky grading. If decompressive craniectomy has been performed during or after operation, it would ...

Aim: Decompressive craniectomy is one of the treatment methods that reduces mortality, when used in eligible patients for malignant ischemic stroke (MIS). In this study, weaimed to assess effect age and timing surgery on quality life prognosis underwent decompressive craniectomy.Material Method: The files 45 between ages 24-98, who were recommended connection with stroke, reviewed within scope ...