EurekaMag.com logo
+ Site Statistics
References:
47,893,527
Abstracts:
28,296,643
+ 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


, : Extensive bilateral cranial decompression in the treatment of severe traumatic brain edema. Zentralblatt fuer Neurochirurgie 41(2): 125-138

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

Submit PDF Full Text: Here


Submit PDF Full Text

No spam - Every submission is manually reviewed

Due to poor quality, we do not accept files from Researchgate

Submitted PDF Full Texts will always be free for everyone
(We only charge for PDFs that we need to acquire)

Select a PDF file:
Close
Close

Related references

Gerl, A.; Tavan, S., 1980: Bilateral craniectomy 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. The reactive brain edema with imminent or beginning decompensation indicates the need for operation. Technically, it i...

McLAURIN.R.L.; NICHOLS.J.B., 1957: Extensive cranial decompression in the treatment of severe lead encephalopathy. Pediatrics 20(4): 653-667

Charry, Jé.D.; Rubiano, Aés.M.; Nikas, C.V.; Ortíz, J.C.; Puyana, J.C.; Carney, N.; Adelson, P.David., 2016: Results of early cranial decompression as an initial approach for damage control therapy in severe traumatic brain injury in a hospital with limited resources. Severe traumatic brain injury (sTBI) is a disease that generates significant mortality and disability in Latin America, and specifically in Colombia. The purpose of this study was to evaluate the 12-month clinical outcome in patients with sTBI man...

Wong T.T.; Hendrick E.B.; Hoffman H.J.; Humphreys R.P.; Ishida W., 1981: The value of cranial decompression in the management of traumatic cerebral edema in childhood. Neurochirurgia (SUPPL): 318

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

Ogawa, M.; Minami, T.; Katsurada, K.; Sugimoto, T., 1974: Evaluation of external cranial decompression for traumatic acute brain swelling. Medical Journal of Osaka University 25(1-2): 73-78

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

Mracek Z., 1981: 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

Mussack, T.; Wiedemann, E.; Hummel, T.; Biberthaler, P.; Kanz, K.G.; Mutschler, W., 2003: Secondary decompression trepanation in progressive post-traumatic brain edema after primary decompressive craniotomy. Besides evacuation of epidural or subdural hematoma, early decompressive craniectomy with duraplasty has to be performed in the neurotraumatological care of patients with moderate [Glasgow Coma Scale (GCS) score 9-12 points] or severe traumatic br...

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