The role of decompressive craniectomy in the treatment of severe posttraumatic cerebral swelling remains quite a controversial issue. To the best of our knowledge, there is no study demonstrating the effect of decompressive craniectomy on cerebral blood flow (CBF) velocity by means of transcranial Doppler sonography (TCD). We present two patients who developed traumatic brain swelling and uncon...

BACKGROUND Although International Classification of Disease, Ninth Revision, Clinical Modification (ICD9-CM) coding is the basis of administrative claims data, no study has validated an ICD9-CM algorithm to identify patients undergoing decompressive craniectomy for space-occupying supratentorial infarction. METHODS Patients who underwent decompressive craniectomy for stroke at our institution...

To the Editor: We read with great interest the article by Livesay et al entitled “Evidence-Based Nursing Review of Craniectomy Care.” First, we applaud the authors for this excellent summary of nursing care and for the table of nursing monitoring and discussion of other concerns regarding patients with decompressive craniectomy. The summary they provide is useful, and we hope to educate our nur...

To the Editor: We read with great interest the article by Livesay et al entitled “Evidence-Based Nursing Review of Craniectomy Care.” First, we applaud the authors for this excellent summary of nursing care and for the table of nursing monitoring and discussion of other concerns regarding patients with decompressive craniectomy. The summary they provide is useful, and we hope to educate our nur...

OBJECTIVE Re-implantation of autologous skull bone has been known to be difficult because of its propensity for resorption. Moreover, the structural characteristics of the area of the defect cannot tolerate physiologic loading, which is an important factor for graft healing. This paper describes our experiences and results with cranioplasty following decompressive craniectomy using autologous b...

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 ...