Percutaneous epidural neuroplasty (PEN) is a known interventional technique for the management of spinal pain. As with any procedures, PEN is associated with complications ranging from mild to more serious ones. We present a case of intracranial subdural hematoma after PEN requiring surgical evacuation. We review the relevant literature and discuss possible complications of PEN and patholophysi...

BACKGROUND AND OBJECTIVES Percutaneous epidural neuroplasty (epidural neurolysis, lysis of epidural adhesions) is an interventional pain management technique that has emerged over approximately the last 10 years as part of a multidisciplinary approach to treating radiculopathy with low back pain. In addition to local anesthetic and corticosteroid, hypertonic saline (10% NaCl) and hyaluronidase ...

BACKGROUND For cases of severe traumatic brain injury, during primary operation, neurosurgeons usually face a dilemma of whether or not to remove the bone flap after mass lesion evacuation. Decompressive craniectomy, which involves expansion of fixed cranial cavity, is used to treat intra-operative brain swelling and post-operative malignant intracranial hypertension. However, due to indefinite...

Refractory intracranial hypertension is a leading cause of poor neurological outcomes in patients with severe traumatic brain injury. Decompressive craniectomy has been used in the management of refractory intracranial hypertension for about a century, and is presently one of the most important methods for its control. However, there is still a lack of conclusive evidence for its efficacy in te...

The first decompressive craniectomy was presented by Kocher on 1901,1,2 followed by Cushing in 19053 and Horsley in 1906.2 However, because of unpleasant aesthetic results, the procedure lost its general acceptance.2 In traumatic brain injury (TBI), the benefit of this procedure has been agreed as well as disagreed. In 1940, Erlich suggested decompressive craniectomy for all head injuries with ...

PURPOSE OF REVIEW The results of the multicentre, randomized, controlled trial to test the effectiveness of decompressive craniectomy in adults with traumatic brain injury and high intracranial pressure (Decompressive Craniectomy, DECRA) were published in 2011. DECRA concluded that decompressive craniectomy decreased intracranial pressure (ICP) but was associated with more unfavourable outcomes...

objective(s):hypothermia and decompressive craniectomy (dc) have been shown to be neuroprotective. this study was designed to evaluate neuroprotective effects of delayed singular or combination of dc and local hypothermia on stroke. materials and methods: cerebral ischemia was induced in 48 wistar rats assigned to 4 groups: control, decompressive craniectomy (dc), local hypothermia (lh), combin...

main goal in the management of patients with severe traumatic brain injury (tbi) is control of intracranial pressure (icp). decompressive craniectomy is an accepted technique for control of refractory intracranial hypertension in patients with severe tbi. because of high complication rate after decompressive craniectomy, new techniques such as basal cisternostomy have developed. we herein repor...