+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on Google+Follow on Google+
Follow on LinkedInFollow on LinkedIn

+ Translate

Extensive bilateral cranial decompression in the treatment of severe traumatic brain edema

Zentralblatt fuer Neurochirurgie 41(2): 125-138
Extensive bilateral cranial decompression in the treatment of severe traumatic brain edema
The extensive bilateral craniectomy with opening of the dura offers the possibility of rapid reduction of intracranial pressure. Reactive brain edema with imminent or beginning decompensation indicates the need for operation. It is technically easy to carry out bilateral cranial decompression. The open dura results in no additional postoperative problem. Of 30 patients 21 died postoperatively within 8.6 days, 2 patients in state of apallic syndrome after 4 and 16 mo. Two patients have been living with apallic syndrome for 17 and 20 mo. All apallic patients show a massive hydrocephalus internus. Patients (5) demonstrate a full restitution. In this group there is an interval of 3.2 days between accident and operation; the duration of the postoperative unconsciousness was 9.4 days. In children spontaneous bone ossification may be expected if the periost is conserved. Bilateral craniectomy is compared with other conservative and operative methods of treatment.

Accession: 005432921

Related references

Bilateral craniectomy in the treatment of severe traumatic brain edema. Zentralblatt für Neurochirurgie 41(2): 125-138, 1980

Extensive cranial decompression in the treatment of severe lead encephalopathy. Pediatrics 20(4): 653-667, 1957

Results of early cranial decompression as an initial approach for damage control therapy in severe traumatic brain injury in a hospital with limited resources. Journal of Neurosciences in Rural Practice 7(1): 7-12, 2016

The value of cranial decompression in the management of traumatic cerebral edema in childhood. Neurochirurgia (SUPPL): 318, 1981

Bifrontal external decompression for traumatic brain edema. Japanese Journal of Surgery 1(2): 83-92, 1971

Evaluation of external cranial decompression for traumatic acute brain swelling. Medical Journal of Osaka University 25(1-2): 73-78, 1974

Tumor arising in the middle cranial fossa of a 74-year-old man with extensive brain edema. Neuropathology 27(3): 305-307, 2007

Management of severe coma in infants with per acute intra cranial hypertension due to brain edema and or intra cranial hematoma value of emergency decompressive craniotomy. Zeitschrift fuer Kinderchirurgie 34(2): 207, 1981

Secondary decompression trepanation in progressive post-traumatic brain edema after primary decompressive craniotomy. Der Unfallchirurg 106(10): 815-825, 2003

Significance of major decompression craniotomy in brain edema in severe craniocerebral injuries. Rozhledy V Chirurgii 56(9): 597-605, 1977