Intracranial pressure monitoring after primary decompressive craniectomy: is it useful?

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Significance of Intracranial Pressure Monitoring after Early Decompressive Craniectomy in Patients with Severe Traumatic Brain Injury

OBJECTIVE Early decompressive craniectomy (DC) has been used as the first stage treatment to prevent secondary injuries in cases of severe traumatic brain injury (TBI). Postoperative management is the major factor that influences outcome. The aim of this study is to investigate the effect of postoperative management, using intracranial pressure (ICP) monitoring and including consecutive DC on t...

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OBJECTIVE Therapeutic hypothermia (TH) and decompressive craniectomy are neuroprotective interventions following severe brain swelling. The precise benefits, risks, and clinical outcomes in brain swelling after TH are still being investigated. We aimed to investigate the effects of TH in severe brain injury after decompressive craniectomy. METHODS We reviewed the cases of 24 patients who unde...

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Decompressive Craniectomy for Refractory Intracranial Hypertension

Clinical and experimental data from the past two decades show that Decompressive Craniectomy (DC) is an effective treatment which reduces mortality within patients with refractory intracranial hypertension. Massive cerebral ischemic infarction and traumatic brain injury are the most frequent indication of DC. Since the conservative medical treatment of intracranial hypertension is ineffective i...

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[Does decompressive craniectomy improve other parameters besides ICP? Effects of the decompressive craniectomy on tissular pressure?].

Second level therapeutic maneuvres for controlling intracranial hypertension (ICH) proposed by the European Brain Injury Consortium and the American Association of Neurological Surgeons include barbiturates, moderate hypothermia and more recently the decompressive craniectomy (DC).In most patients, ICP can be maintained below 25 mmHg after a DC. However, the exact effect of DC on brain oxygenat...

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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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ژورنال

عنوان ژورنال: Acta Neurochirurgica

سال: 2017

ISSN: 0001-6268,0942-0940

DOI: 10.1007/s00701-017-3119-y