Craniectomy in severe, life-threatening encephalitis: a report on outcome and long-term prognosis of four cases.

Abstract:

OBJECTIVE:To report the feasibility of craniectomy with duraplasty in four patients with life-threatening encephalitis and, in particular, their long-term outcome. DESIGN:Report of four cases, analysis of the acute clinical course and neurological long-term sequelae. RESULTS:Generous craniectomy with duraplasty was performed in four patients with life-threatening encephalitis leading to decortication and decerebration. This treatment approach reduced intracranial pressure. The long-term sequelae (1.5-8 years after craniectomy) confirmed its appropriateness, having led to full neurological (cerebral) function, resocialization, and reintegration into their professional life in all four patients. CONCLUSION:Craniectomy with dural augmentation is a treatment approach in cases of severe space-occupying encephalitis, not only saving the patient's life but also leading to favorable long-term outcome.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Taferner E,Pfausler B,Kofler A,Spiss H,Engelhardt K,Kampfl A,Schmutzhard E

doi

10.1007/s001340101027

keywords:

subject

Has Abstract

pub_date

2001-08-01 00:00:00

pages

1426-8

issue

8

eissn

0342-4642

issn

1432-1238

journal_volume

27

pub_type

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