Clinical study of decompressive craniectomy in children

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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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Bone Resorption of Autologous Cranioplasty Following Decompressive Craniectomy in Children

Objective: In pediatric patients, autologous-bone assisted cranioplasty is preferred because the child’s original skull material will become reintegrated. Unfortunately, the replaced bone flap sometimes undergoes bone resorption, which results in structural breakdown necessitating reoperation. We report two children who underwent failure of autologous cranioplsty following decompressive craniec...

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Decompressive craniectomy in pediatric patients

More frequently than adults, pediatric victims of severe traumatic brain injury experience diffuse severe cerebral edema without mass lesions. These patients require methods to reduce intracranial pressure quickly and reliably. Surgical decompression provides rapid relief of increased intracranial pressure and is an alternative to maximal medical therapy for these individuals. Based on previous...

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Decompressive craniectomy in subarachnoid hemorrhage.

OBJECT The aim of this study was to analyze decompressive craniectomy (DC) in the setting of subarachnoid hemorrhage (SAH) with bleeding, infarction, or brain swelling as the underlying pathology in a large cohort of consecutive patients. METHODS Decompressive craniectomy was performed in 79 of 939 patients with SAH. Patients were stratified according to the indication for DC: 1) primary brai...

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Decompressive Craniectomy in Traumatic Brain Injury:Factors Influencing Prognosis and Outcome

Background and Aim: Decompressive craniectomy can be life-saving for patients with severe traumatic brain injury, but many questions about its ideal application, indications, timing, technique, and even the definition of success of decompressive craniectomy remains unclear. The aim of this study was to assess the factors associated with prognosis and outcome of patients with traumatic brain inj...

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ژورنال

عنوان ژورنال: Turkish Neurosurgery

سال: 2019

ISSN: 1019-5149

DOI: 10.5137/1019-5149.jtn.27576-19.3