Traumatic brainEither craniotomy or decompressive craniectomyEffectiveness of decompressive craniectomyCranioplastyUnderwent decompressive craniectomyCraniotomyIntracranial pressureOutcomesActa NeurochirBone flapMalignantPatientsOutcomeBrainEfficacyMidlineSalvageProcedureEmergencyTraumaClinical practiceTrialsOccurHeadReduceSurgeryCases
Traumatic brain8
- This is the only prospective randomly controlled study to date to support the potential benefit of decompressive craniectomy following traumatic brain injury. (wikipedia.org)
- Management of severe traumatic brain injury by decopressive craniectomy[J]. Neurosurgery, 2000, 47: 315-323. (cns.org)
- Background: Two randomised trials assessing the effectiveness of decompressive craniectomy (DC) following traumatic brain injury (TBI) were published in recent years: DECRA in 2011 and RESCUEicp in 2016. (uib.no)
- Methods: The International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury took place in Cambridge, UK, on the 28th and 29th September 2017. (uib.no)
- In the present study, we designed a prospective, randomized, controlled trial to clarify the effect of decompressive craniectomy in severe traumatic brain injury patients with mass lesions. (biomedcentral.com)
- This study will provide evidence to optimize primary decompressive craniectomy application and assess outcomes and risks for mass lesions in severe traumatic brain injury. (biomedcentral.com)
- This is a case series which report the clinical results of decompressive craniectomy in 4 patients with dilated pupils secondary to traumatic brain injury and postoperative edema. (ac.ir)
- Management of intracranial hypertension following traumatic brain injury: a best clinical practice adoption proposal for intracranial pressure monitoring and decompressive craniectomy. (minervamedica.it)
Either craniotomy or decompressive craniectomy2
- The available type of operation is either craniotomy or decompressive craniectomy (DC). (biomedcentral.com)
- Traumatic subdural hematoma often requires surgical evacuation using either craniotomy or decompressive craniectomy. (medscape.com)
Effectiveness of decompressive craniectomy1
- The aim of this study is to determine the effectiveness of decompressive craniectomy, compared to medical management alone, to treat brain swelling and improve outcome. (wikipedia.org)
Cranioplasty6
- If possible, the original skull fragment is preserved after the craniectomy in anticipation of the cranioplasty. (wikipedia.org)
- Complications of cranioplasty using a bone flap sterilised by autoclaving following decompressive craniectomy. (prolekare.cz)
- Two--stage cranioplasty: tissue expansion directly over the craniectomy defect prior to cranioplasty. (prolekare.cz)
- Rienzo AD, Pangrazi PP, Riccio M, Colasanti R, Ghetti I, Iacoangeli M. Skin flap complications after decompressive craniectomy and cranioplasty: Proposal of classification and treatment options. (surgicalneurologyint.com)
- The list of complications reported after decompressive craniectomy (DC) and cranioplasty is progressively increasing. (surgicalneurologyint.com)
- In last years, some reports focused attention on complications occurring after decompressive craniectomy (DC) and postdecompressive cranioplasty. (surgicalneurologyint.com)
Underwent decompressive craniectomy3
- Between 2011 and 2012, four patients, 3 males and 1 female, aged between 35 and 64 with mean age of 50.1 ± 8.9 years, underwent decompressive craniectomy due to brain traumatic edema. (ac.ir)
- The purpose of this study was to evaluate the prognostic factors in patients with malignant MCA infarction who underwent decompressive craniectomy during ongoing brain herniation. (jksgn.org)
- All patients underwent decompressive craniectomy with wide duroplasty. (jksgn.org)
Craniotomy7
- Salvage decompressive craniectomy will be performed for craniotomy patients once there is evidence of imaging deterioration and post-operative malignant intracranial hypertension. (biomedcentral.com)
- The secondary endpoints include quality of life measured by EQ-5D, mortality, complications, intracranial pressure and cerebral perfusion pressure control and incidence of salvage craniectomy in craniotomy patients at each investigation time point. (biomedcentral.com)
- In a new study, outcomes were nearly alike after both craniotomy, in which the bone flap is replaced, and decompressive craniectomy, in which the bone flap is not replaced, at least not right away. (medscape.com)
- After the clot was removed, patients were randomly assigned to undergo craniotomy or craniectomy. (medscape.com)
- At 12 months, 215 patients in the craniotomy group and 211 in the decompressive craniectomy group were evaluated. (medscape.com)
- Further cranial surgery within 2 weeks was performed for 14.6% of the craniotomy group and 6.9% of the craniectomy group. (medscape.com)
- The two prevailing techniques used during surgical treatments of traumatic acute subdural haematomas (SDHs)-craniotomy and decompressive craniectomy-have demonstrated broadly similar efficacy outcomes in a. (neuronewsinternational.com)
Intracranial pressure2
- To investigate the alteration of intracranial pressure and imaging features after decompressive craniectomy with lattice duraplasty in patients with severe head injury. (cns.org)
- Three patients had a high intracranial pressure (ICP) with brain herniation and eventually underwent decompressive hemicraniectomy. (biomedcentral.com)
Outcomes8
- The study investigators found that decompressive craniectomy was associated with worse functional outcomes, as measured by a standard metric, than best medical care. (wikipedia.org)
- found a net 65% favorable outcomes rate in pediatric patients for accidental trauma after craniectomy when followed for more than five years. (wikipedia.org)
- In addition, decompressive craniectomy is associated with various complications, and the procedure lacks strong evidence of better outcomes. (biomedcentral.com)
- While craniectomy, in which the flap is not replaced, may have the advantage of reducing intracranial hypertension, the researchers note, whether it is associated with better outcomes has not been clear. (medscape.com)
- Each of the six trials showed that decompressive craniectomy improves survival and functional outcomes. (medscape.com)
- Our first question was: Does decompressive craniectomy for patients with MCI improve the likelihood of attaining functional outcomes with a consensus that the quality of life is worth living? (medscape.com)
- Rather than make a case that there is a right or wrong answer regarding decompressive craniectomy for MCI, we put our findings into a clinical decision algorithm to help frame the question for treating physicians and families, based on the likelihood of attaining a 'good" or "poor" quality of life as it relates to the individual family and patient's perception of those outcomes. (medscape.com)
- With the caveat that the expected outcomes after decompressive craniectomy are in line with the treatment goals of the patient and family, the indications for decompressive craniectomy are typically major middle cerebral artery stroke with subsequent cerebral edema, leading to decreased level of consciousness and the expectation of further progression of edema and neurologic deterioration. (medscape.com)
Acta Neurochir1
- 2.Mitchell P, Tseng M, Mendelow AD: Decompressive craniectomy with lattice duraplasty[J].Acta Neurochir(Wien), 2004, 146: 159-160. (cns.org)
Bone flap2
- In the therapeutic decompressive craniectomy group, the bone flap will be removed or replaced depending on the emergence of brain swelling. (biomedcentral.com)
- In the prophylactic decompressive craniectomy group, the bone flap will be removed after mass lesion evacuation. (biomedcentral.com)
Malignant8
- Decompressive craniectomy is also used to manage major strokes, associated with "malignant" edema and intracranial hypertension. (wikipedia.org)
- The pooled evidence from three randomised controlled trials in Europe supports the retrospective observations that early (within 48 hours) application of decompressive craniectomy after "malignant" stroke may result in improved survival and functional outcome in patients under the age of 55, compared to conservative management alone. (wikipedia.org)
- Decompressive craniectomy, which involves expansion of fixed cranial cavity, is used to treat intra-operative brain swelling and post-operative malignant intracranial hypertension. (biomedcentral.com)
- From January 2008 to June 2014, we retrospectively reviewed 56 patients with malignant MCA infarction who received decompressive craniectomy for ongoing brain herniation. (jksgn.org)
- Right side involvement and higher GCS level before surgery were also main factors affecting the acceptance of decompressive craniectomy in patients with a malignant MCA infarction. (jksgn.org)
- Younger age, higher preoperative GCS score and right side involvement are main favorable factors which should be considered in predicting patients prognosis of decompressive craniectomy for malignant MCA infarction. (jksgn.org)
- BACKGROUND AND PURPOSE: The use of decompressive hemicraniectomy (DHC) for the treatment of malignant cerebral edema can decrease mortality rates. (koreamed.org)
- 3 4 7 ] The interest for this topic raises from the progressively increasing number of decompressive and reconstructive procedures performed by neurosurgeons in their daily practice, an increase related to the lack of an effective medical treatment for "malignant" intracranial hypertension. (surgicalneurologyint.com)
Patients20
- This was a randomized trial comparing decompressive craniectomy to best medical therapy run between 2002 and 2010 to assess the optimal management of patients with medically refractory ICP following diffuse non-penetrating head injury. (wikipedia.org)
- In addition to reducing ICP, studies have found decompressive craniectomy to improve cerebral perfusion pressure and cerebral blood flow in head injured patients. (wikipedia.org)
- Aspects in decopressive craniectomy in patients with traumatic head injuries[J]. J Neurotrama, 2006, 23: 1502-1509. (cns.org)
- The incidence of post-traumatic hydrocephalus (PTH) has been reported to be 0.7-51.4%, and we have frequently observed the development of PTH in patients undergoing decompressive craniectomy (DC). (unich.it)
- Craniectomy with a superior limit too close to the midline can predispose patients undergoing DC to the development of hydrocephalus. (unich.it)
- In this trial, 336 patients with traumatic mass lesions will be randomly allocated to a therapeutic decompressive craniectomy group or a prophylactic decompressive craniectomy group. (biomedcentral.com)
- Decompressive craniectomy can be a life-saving procedure which provides a better outcome in patients with dilated pupils secondary to brain trauma injury and postoperative edema with timing of less than 20 minutes. (ac.ir)
- However, the small number of the patients in this study is the main limitation to the accuracy of the results, and more studies with larger number of patients are warranted to evaluate the efficiency of decompressive craniectomy in patients with dilated pupils. (ac.ir)
- Nevertheless its diagnostic reliability is affected by some limitations in patients with decompressive craniectomy. (torvergata.it)
- To describe the associated characteristics and main complications in patients undergoing decompressive craniectomy. (cmp.org.pe)
- This is a retrospective observational study performed between February 2018 and July 2020 in patients who had been admitted because of head trauma and who had undergone unilateral decompressive craniectomy. (cmp.org.pe)
- León Palacios JL, Carranza-Vásquez AP, Alaba-García W, Lovatón R. Decompressive craniectomy as primary therapy for cranial hypertension due to head trauma: Observational experience in 24 patients. (cmp.org.pe)
- Hutchinson presented the findings from the Randomized Evaluation of Surgery With Craniectomy for Patients Undergoing Evacuation of Acute Subdural Hematoma (RESCUE-ASDH) trial at the annual meeting of the American Association of Neurological Surgeons (AANS) 2023. (medscape.com)
- Jamous M1,2, , "Emergency decompressive craniectomy for trauma patients with Glasgow Coma Scale of 3 and bilateral fixed dilated pupils. (just.edu.jo)
- The use of decompressive craniectomy for the emergency treatment of several pathologic conditions such as severe head injuries, ischemic, and hemorrhagic strokes, cerebral venous thrombosis, severe brain infections, and subarachnoid hemorrhages,[ 5 , 6 , 11 , 16 ] has led to an increase in patients with cranial defect. (surgicalneurologyint.com)
- Patients undergoing craniectomy for neoplasms, infections, or traumas with involvement of the bone (including infectious complications of the previous neurosurgical operations) should be added to this list. (surgicalneurologyint.com)
- This study aimed to assess the hospital incidence and mortality of HSE, and to evaluate the characteristics, management, the potential value of decompressive craniectomy and the outcome of patients with HSE admitted to intensive care units (ICUs). (biomedcentral.com)
- Significantly more patients are either independent, or nearly independent, with the ability to ambulate 1 year after undergoing decompressive craniectomy. (medscape.com)
- The second question was: Does decompressive craniectomy for patients with MCI increase the likelihood of survival with a quality of life that is not worth living? (medscape.com)
- I have multiple patients who have returned to work full-time and are completely independent after decompressive craniectomy. (medscape.com)
Outcome1
- The use of decompressive craniectomy and long-term outcome were analyzed. (biomedcentral.com)
Brain7
- Decompressive craniectomy (crani- + -ectomy) is a neurosurgical procedure in which part of the skull is removed to allow a swelling or herniating brain room to expand without being squeezed. (wikipedia.org)
- Infections such as meningitis or brain abscess can occur after decompressive craniectomy. (wikipedia.org)
- After a craniectomy, the risk of brain injury is increased, particularly after the patient heals and becomes mobile again. (wikipedia.org)
- Decompressive craniectomy may cause diagnostic challenges to asses brain death by computed tomography angiography. (torvergata.it)
- We argue that decompressive craniectomy can be used to overcome the limitations of local brain hypothermia without causing histological abnormalities or other detrimental effects to the cooled area. (en-journal.org)
- Therefore, delayed and prolonged local brain hypothermia at the site of craniectomy is a promising intervention that may prove effective in the clinical setting. (en-journal.org)
- This swelling builds up pressure inside the skull that can lead to brain damage or death, so surgeons sometimes perform a decompressive craniectomy - removing a large portion of the skull to allow the brain to mushroom out. (stanford.edu)
Efficacy1
- This research has confirmed the clinical efficacy of decompressive craniectomy with lattice duraplasty for severe head injury. (cns.org)
Midline1
- The technique of lattice duraplasty used in decompressive craniectomy could reduce ICP and midline shift meanwhile alleviate the ambient cistern compression. (cns.org)
Salvage1
- Decompressive craniectomy may be a useful salvage procedure in cases of intractable high ICP. (biomedcentral.com)
Procedure1
- In severely head injured children, a study has shown that decompressive craniectomy resulted in good recovery in all children in the study, suggesting the procedure has an advantage over non-surgical treatment in children. (wikipedia.org)
Emergency1
- He was in a critical condition after undergoing an emergency decompressive craniectomy, and remained in a coma. (techarp.com)
Trauma1
- Our results suggest that characteristics associated to decompressive craniectomy because of head trauma contribute for its proper management. (cmp.org.pe)
Clinical practice1
- You recently published a meta-analysis of decompressive craniectomy treatment for MCI in the journal Neurology Clinical Practice . (medscape.com)
Trials2
- Six randomized clinical trials of decompressive craniectomy for MCI have been conducted previously. (medscape.com)
- However, the topic is controversial because, despite positive trials, there remains significant skepticism about decompressive craniectomy for the MCI patient population. (medscape.com)
Occur1
- Surgeons currently rely on experience to limit the collateral damage that might occur when dire circumstances force them to perform a decompressive craniectomy. (stanford.edu)
Head1
- To understand the technique and clinical value of decompressive craniectomy with lattice duraplasty for severe head injury. (cns.org)
Reduce1
- The aim of decompressive craniectomy is to reduce this pressure. (wikipedia.org)
Surgery1
- Decompressive surgery stops this cycle. (medscape.com)
Cases1
- In particular, decompressive craniectomy has rarely been proposed in cases of life-threatening HSE with temporal herniation, in the absence of evidence. (biomedcentral.com)