PURPOSE Decompressive craniectomy (DC) is a life-saving measure for traumatic brain injury (TBI), but acute seizures following this procedure may have a devastating effect. We aim to investigate the clinical characteristics of acute post-craniectomy seizures. METHODS For this retrospective study, we enrolled 195 patients undergoing DC for TBI. Acute post-craniectomy seizure was defined as sei...

AIM We set out to investigate the optimal timing for shunt placement in patients with hydrocephalus after decompressive craniectomy (DC). MATERIAL AND METHODS We studied 63 consecutive patients that underwent DC because of traumatic brain injury, middle cerebral artery infarct or intracerebral hemorrhage. Hydrocephalus was diagnosed in 23/63 patients. The 23 patients were divided into two gro...

Thrombolysis with recombinant tissue plasminogen activator (rt-PA) is clinically effective at treating acute ischemic stroke. However, the use of thrombolytic therapy is associated with an increased risk of symptomatic intracerebral hemorrhage (sICH). Whether unacceptable surgical hemorrhage occurs after emergent decompressive craniotomy during the first hours for sICH remains unknown. We repor...

Abstract Background Decompressive craniectomy (DC) is a frequently performed procedure to treat intracranial hypertension following traumatic brain injury (TBI) and stroke. DC salvage that reduces mortality at the expense of severe disability compromises quality life. The not without serious complications. Methods We describe complications its management in case-based review this article. Resul...

Patients with cerebellar infarction should not be neglected because they can experience sudden clinical deterioration from cerebellar swelling. Compared with malignant middle cerebral artery infarctions, malignant cerebellar infarctions can be more urgent because of the smaller space of the posterior fossa, consecutive brain stem compression, and obstructive hydrocephalus. In these situations, ...