Decompressive craniectomy: technical note.

Abstract:

:Decompressive craniectomy is a neurosurgical technique in which a portion of the skull is removed to reduce intracranial pressure. The rationale for this procedure is based on the Monro-Kellie Doctrine; expanding the physical space confining edematous brain tissue after traumatic brain injury will reduce intracranial pressure. There is significant debate over the efficacy of decompressive craniectomy despite its sound rationale and historical significance. Considerable variation in the employment of decompressive craniectomy, particularly for secondary brain injury, explains the inconsistent results and mixed opinions of this potentially valuable technique. One way to address these concerns is to establish a consistent methodology for performing decompressive craniectomies. The purpose of this paper is to begin accomplishing this goal and to emphasize the critical points of the hemicraniectomy and bicoronal (Kjellberg type) craniectomy.

journal_name

Acta Neurol Scand

authors

Quinn TM,Taylor JJ,Magarik JA,Vought E,Kindy MS,Ellegala DB

doi

10.1111/j.1600-0404.2010.01397.x

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

239-44

issue

4

eissn

0001-6314

issn

1600-0404

pii

ANE1397

journal_volume

123

pub_type

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