BACKGROUND Decompressive craniectomy can be proposed in the management of severe traumatic brain injury. Current studies report mixed results, preventing any clear conclusions on the place of decompressive craniectomy in traumatology. METHODS The objective of this retrospective study was to evaluate the results of all decompressive craniectomies performed between 2005 and 2011 for refractory ...

While ischaemic stroke remains a leading cause of death and disability, there have been recent advancements in treatment modalities including thrombolysis and decompressive hemicraniectomy. A retrospective review of patients treated in our NHS teaching hospital, in Plymouth (UK), over a 2 year period identified 17 thrombolysed patients, of whom two had undergone subsequent decompressive hemicra...

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...

Background: The aim of the present study was to explore clinical effect and predict prognosis severe craniocerebral injury patients with decompressive craniectomy by combining transcranial Doppler (TCD) invasive intracranial pressure (ICP).

Massive cerebral infarction is often accompanied by early death, secondary to brain edema and trans-tentorial herniation. Several reports indicate beneficial effects of decompressive craniectomy in this situation, but the efficacy of this procedure is still a matter of debate. A n experimental study in a period of3 years was done on2 3 patients with brain edema due to massive cerebral infa...

P epidural neuroplasty has been performed over the last 15 years in the management of low back pain caused by epidural adhesions. The method, which was defined by Racz1 as the lysis of the epidural adhesions, depends on entry into the epidural space by a special catheter either caudally, or trans foraminally. The catheter, which is used for this technique, has a steel wire inside. Some drugs, s...

Background: Decompressive craniectomy is an effective treatment for malignant middle cerebral artery (MCA) territory infarct. But the age limit surgery not well defined. The time window of considered less than 96 hours.Methods: This retrospective study 60 patients MCA infarct who underwent decompressive selected in this and using modified Rankin score.Results: In 36 were years above years. 38 r...

Decompressive craniectomy as a surgical treatment for brain edema has been performed for many years and for several different pathophysiologies, including malignant middle cerebral artery (MCA) infarct. The purpose of this article was to share author's experience with decompressive craniectomy in malignant MCA infarct with special insight on what all needs to be done at a tertiary centre level ...

Postoperative stroke after cardiac surgery is often a lethal complication. Herein, we report on a patient who suffered space-occupying ischemic stroke after surgical treatment of type A aortic dissection. He underwent decompressive hemicraniectomy and, despite residual hemianopsia and left side flaccid hemiplegia, survived surgery and was discharged for rehabilitation. This observation suggests...