scholarly journals Effectiveness and Safety of Pressure Dressings on Reducing Subdural Effusion After Decompressive Craniectomy

2021 ◽  
Vol Volume 17 ◽  
pp. 3119-3125
Author(s):  
Wanyong Huang ◽  
Bo Zhou ◽  
Yingwei Li ◽  
Yuansheng Shao ◽  
Bo Peng ◽  
...  
Keyword(s):  
Decompressive Craniectomy ◽  
Subdural Effusion

scholarly journals Cranioplasty as the treatment for contralateral subdural effusion secondary to decompressive craniectomy: a case report and review of the relevant literature

2020 ◽  
Vol 48 (11) ◽  
pp. 030006052096689
Author(s):  
Hao Wang ◽  
Fumei Chen ◽  
Liang Wen ◽  
Yuanrun Zhu ◽  
Zuobing Chen ◽  
...  
Keyword(s):  
Case Report ◽  
Decompressive Craniectomy ◽  
Clinical Course ◽  
Relevant Literature ◽  
Favourable Outcome ◽  
Communicating Hydrocephalus ◽  
Subdural Effusion ◽  
Current Case ◽  
Shunt Procedure ◽  
Alternative Treatment Option

Subdural effusion (SDE) is a common complication secondary to decompressive craniectomy (DC). This current case report describes a patient with contralateral SDE with a typical clinical course. Initially, he made a good recovery following a head trauma that caused a loss of consciousness and was treated with decompressive craniectomy. However, he only achieved temporary relief after each percutaneous fluid aspiration from an Ommaya reservoir implanted into the cavity of the SDE. He was eventually transferred to the authors’ hospital where he underwent cranioplasty, which finally lead to the reduction and disappearance of his contralateral SDE. Unexpectedly, his clinical condition deteriorated again 2 weeks after the cranioplasty with symptoms of an uncontrolled bladder. A subsequent CT scan found the apparent expansion of the whole cerebral ventricular system, indicating symptomatic communicating hydrocephalus. He then underwent a ventriculoperitoneal shunt procedure, which resulted in a favourable outcome and he was discharged 2 weeks later. A review of the current literature identified only 14 cases of contralateral SDE that were cured by cranioplasty alone. The mechanism of contralateral SDE has been widely discussed. Although the exact mechanism of contralateral SDE and why cranioplasty is effective remain unclear, cranioplasty could be an alternative treatment option for contralateral SDE.

Subdural effusion with ventriculomegaly after decompressive craniectomy for traumatic brain injury: A challenging entity

2014 ◽  
Vol 11 (2) ◽  
pp. 97-102
Author(s):  
Deepak Agrawal ◽  
Nityanand Pandey ◽  
Sumit Sinha ◽  
Deepak Gupta ◽  
G.D. Satyarthee ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Decompressive Craniectomy ◽  
Subdural Effusion

scholarly journals Size of bone flap in decompressive craniectomy: an analysis of complications and prognosis in traumatic brain injury

2019 ◽  
Author(s):  
Min Xu ◽  
Yu Luo ◽  
Pan Yi ◽  
Cunzu Wang
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Decompressive Craniectomy ◽  
Statistical Significance ◽  
Drug Efficacy ◽  
Neurological Status ◽  
Bone Flap ◽  
Prognostic Indicators ◽  
Subdural Effusion ◽  
Craniocerebral Injuries

Abstract Abstract Objective: To investigate association of size of bone flap with common complications and prognosis in traumatic brain injury. Methods: A retrospective analysis was performed in 108 TBI patients of Northern Jiangsu People's Hospital from January 2018 to March 2019. Patients’ gender, age, Glasgow Coma Scale at admisson, pupils reactivity to the light, size of bone flap, types of craniocerebral injuries and injury locations were recorded. Prognostic indicators including changes in hematoma volume and neurological status were extracted. Statistical methods were conducted to evaluate drug efficacy. Prognostic indicators including Glasgow Outcome Scale scores at discharge and GOS scores of 6 months after operation were extracted to evaluate surgical effcacy. Results : Postoperative complications such as encephalocele and subdural effusion were significantly associated with size of bone flap ( P <0.05). The incidence of encephalocele and SE increased with bone flap size in bone flap groups. Age, GCS at admisson, pupils reactivity to the light, and size of bone flap were shown significantly differences between prognosis groups ( P <0.05). By binary logistic regression, Age, pupils reactivity to the light, and the size of bone flap showed statistical significance ( P <0.05). Conclusion: Size of bone flap in decompressive craniectomy is a dependent factor to prognosis. Avoiding oversize craniectomy may bring less complications and positive prognosis.

scholarly journals Size of bone flap in decompressive craniectomy: an analysis of complications and prognosis in traumatic brain injury

2019 ◽  
Author(s):  
Min Xu ◽  
Yu Luo ◽  
Pan Yi ◽  
Cunzu Wang
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Decompressive Craniectomy ◽  
Statistical Significance ◽  
Drug Efficacy ◽  
Neurological Status ◽  
Bone Flap ◽  
Prognostic Indicators ◽  
Subdural Effusion ◽  
Craniocerebral Injuries

Abstract Objective: To investigate association of size of bone flap with common complications and prognosis in traumatic brain injury. Methods: A retrospective analysis was performed in 108 TBI patients of Northern Jiangsu People's Hospital from January 2018 to March 2019. Patients’ gender, age, Glasgow Coma Scale at admisson, pupils reactivity to the light, size of bone flap, types of craniocerebral injuries and injury locations were recorded. Prognostic indicators including changes in hematoma volume and neurological status were extracted. Statistical methods were conducted to evaluate drug efficacy. Prognostic indicators including Glasgow Outcome Scale scores at discharge and GOS scores of 6 months after operation were extracted to evaluate surgical effcacy.Results : Postoperative complications such as encephalocele and subdural effusion were significantly associated with size of bone flap ( P <0.05). The incidence of encephalocele and SE increased with bone flap size in bone flap groups. Age, GCS at admisson, pupils reactivity to the light, and size of bone flap were shown significantly differences between prognosis groups ( P <0.05). By binary logistic regression, Age, pupils reactivity to the light, and the size of bone flap showed statistical significance ( P <0.05). Conclusion: Size of bone flap in decompressive craniectomy is a dependent factor to prognosis. Avoiding oversize craniectomy may bring less complications and positive prognosis.

Contralateral subdural effusion after aneurysm surgery and decompressive craniectomy: case report and review of the literature

2005 ◽  
Vol 107 (5) ◽  
pp. 412-416 ◽  
Author(s):  
Cumhur Kilincer ◽  
Osman Simsek ◽  
M. Kemal Hamamcioglu ◽  
Tufan Hicdonmez ◽  
Sebahattin Cobanoglu
Keyword(s):  
Case Report ◽  
Decompressive Craniectomy ◽  
Subdural Effusion ◽  
Aneurysm Surgery ◽  
Review Of The Literature

scholarly journals The influence of decompressive craniectomy on the development of hydrocephalus: a review

2014 ◽  
Vol 72 (9) ◽  
pp. 715-720 ◽  
Author(s):  
Jun Ding ◽  
Yan Guo ◽  
Hengli Tian
Keyword(s):  
Decompressive Craniectomy ◽  
Injury Severity ◽  
Hematoma Expansion ◽  
Subdural Effusion ◽  
Cerebral Vascular Disease ◽  
Csf Leakage ◽  
The Impact ◽  
The Relationship ◽  
Scalp Incision ◽  
Delayed Time

Decompressive craniectomy (DC) is widely used to treat intracranial hypertension following traumatic brain injury (TBI) or cerebral vascular disease. Many studies have discussed complications of this procedure, and hydrocephalus is a common complication of DC. To further evaluate the relationship between DC and hydrocephalus, a review of the literature was performed. Numerous complications may arise after DC, including contusion or hematoma expansion, epilepsy, herniation of the cortex through a bone defect, CSF leakage through the scalp incision, infection, subdural effusion, hydrocephalus and “syndrome of the trephined”. Several hydrocephalus predictors were identified; these included DC, distance from the midline, hygroma, age, injury severity, subarachnoid or intraventricular hemorrhage, delayed time to craniotomy, repeated operation, and duraplasity. However, results differed among studies. The impact of DC on hydrocephalus remains controversial.

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