scholarly journals Postoperative complications influencing the long-term outcome of head-injured patients after decompressive craniectomy

2018 ◽  
Vol 9 (1) ◽  
pp. e01179 ◽  
Author(s):  
Guangfu Di ◽  
Yuhai Zhang ◽  
Hua Liu ◽  
Xiaochun Jiang ◽  
Yong Liu ◽  
...  
2006 ◽  
Vol 32 (4) ◽  
pp. 365-373 ◽  
Author(s):  
Herman Holtslag ◽  
Erik Buskens ◽  
Clemens Rommers ◽  
Arie Prevo ◽  
Christian van der Werken

2019 ◽  
Vol 14 (1) ◽  
pp. 52
Author(s):  
Ashish Bindra ◽  
Ashutosh Kaushal ◽  
Abhyuday Kumar ◽  
Keshav Goyal ◽  
Niraj Kumar ◽  
...  

2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Seyed Amir Hossein Javadi ◽  
Parisa Balu ◽  
Fereshteh Naderi Behdani ◽  
Amir Hossein Orandi ◽  
Ehsan Ahmadipour ◽  
...  

Background: Brain penetrating blast injury is a leading cause of early death due to excessively elevated intracranial pressure (ICP), culminating in trans-tentorial herniation. The role of craniectomy to decrease ICP and secondary injuries has been controversial particularly in pediatric patients. Three cases of pediatric penetrating blast injuries undergoing decompressive craniectomy are reported in Methods: The current study was a prospective series, including fifteen cases of pediatric blast-related brain injury referred to the emergency ward during a period of two years. Three survived patients had a Glasgow Coma Scale (GCS) of four along with anisocoric pupillary light reflex (PLR). Decompressive craniectomy and ventriculostomy (EVD) were performed. The patients underwent ICP monitoring for two weeks. Results: Early postoperative GCS (5 days) was 7/15 in all three patients. Two weeks and one month’s GCS were 9 and 14, respectively. After three months, cranioplasty was performed. Long-term follow-up detected no major motor deficits after one year and was associated with excellent school performance. Neuroplasticity resulted in contralateral dominancy and handedness in one case. Conclusions: Survivors of pediatric blast brain injury had a favorable outcome after decompressive craniectomy in the current paper. However, there was a limited number of patients, and the results could not be generalized. Further research in this regard with larger sample size is recommended.


In Vivo ◽  
2021 ◽  
Vol 35 (1) ◽  
pp. 555-561
Author(s):  
SHINTARO HASHIMOTO ◽  
KIYOAKI HAMADA ◽  
YORIHISA SUMIDA ◽  
MASATO ARAKI ◽  
KOUKI WAKATA ◽  
...  

2020 ◽  
Vol 7 (8) ◽  
pp. 2506
Author(s):  
Ranjit Kumar ◽  
Brijesh Kumar Tiwari ◽  
Sanjeev Kumar Pandey

Background: Decompressive craniectomy is the surgical procedure to reduce intracranial pressure, refractory to medical measures. We have described our experience associated with the clinical profile, radiological profile, postoperative status and long term outcome in patients with malignant middle cerebral artery (MCA) territory infarct.Methods: Data were collected from patients who underwent hemispheric decompressive craniectomy for malignant MCA territory infarct in our hospital from May 2014 to June 2019. Clinical, radiological, surgical profile and long term outcome were studied.Results: There were a total of 51 patients aged between 28 years to 76 years. Hypertension (70%) was the most common comorbidity associated. All the patients had at least one focal neurological deficit at the time of presentation. Mean time from the first symptoms to surgery was 2.4 days (about 58 hours). 7 patients died within one month of the surgery. Two third improved objectively within 1 month of surgery. Out of 44 patients, who survived beyond one month, none of the patients were functionally independent after one year of surgery (modified Rankin scale (mRS) of 0 or 1). The patients had a mean mRS of 3.8 at one year.Conclusions: Over several decades decompressive craniectomy has been found to be the most effective measure to reduce mortality and morbidity associated with malignant MCA territory infarct. Early surgery (<48 hours) in patients with good Glasgow Coma scale score reduces the mortality. Larger multicentric trials are required to look at the long term effect on morbidity and mortality.


2014 ◽  
Vol 38 (10) ◽  
pp. 2652-2661 ◽  
Author(s):  
Kirsten Lindner ◽  
Mathias Fritz ◽  
Christina Haane ◽  
Norbert Senninger ◽  
Daniel Palmes ◽  
...  

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