Non Decompressive Single Stage Bilateral Craniotomy in Traumatic Brain Injury

Background and Aim: There is a substantial morbidity mortality associated with traumatic brain injury (TBI). TBI still results in cerebral edema, which increases intracranial pressure (ICP) reduces perfusion (CPP) after The purpose of this study was to evaluate the non-decompressive single stage bilateral craniotomy (SSBC) injury. Patients Methods: This prospective conducted on 44 cases undergoing non decompressive Neurosurgery Department Prime Teaching Hospital, Peshawar from January 2022 June 2022. All patients underwent computed tomogram images those fulfilling inclusion criteria were enrolled. Demographic details, background parameters, measurement (ICP), outcome recorded. Results: Of total patients, 32 (72.7%) male 12 (27.3%) females. Age-wise distribution as follows: 3 (6.8%) <20 years, 10 (22.7%) 21-40 16 (36.4%) 41-60 11 (25%) 61-80 4 (9.1%) >80 years. Glasgow comma scale at time admission discharge compared. Bilateral Csdh most prevalent diagnosis found followed by Bifrontal contusion 9 (20.5%), Edh contralateral 6 (13.6%), temporal (9.1%), Unilateral Asdh Contralateral 2 (4.5%), Fronto-parietal 1 (2.3%). Outcome SSBC LAMA 5 (11.4%), discharged 28 (63.6%), Chest infection tracheostomy expired (13.6%) respectively. Conclusion: Our concluded that more vulnerable Majority belonged age group Non-decompressive an effective, reliable, economical procedure manage patients. Single anesthesia along incision, shorter hospital stay, postoperative management similar unilateral major advantages SSBC. Keywords: Traumatic injury, Surgical treatment,