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unilateral_decompressive_craniectomy

Unilateral decompressive craniectomy

Indications

Decompressive hemicraniectomy (DC) and duroplasty after malignant brain infarction or traumatic brain injury is a common surgical procedure. Usually, preserved bone flaps are being reimplanted after resolution of brain swelling. Alloplast cranioplasties are seldom directly implanted due to the risk of wound healing disorders.

see Decompressive craniectomy for intracerebral hemorrhage.

see Decompressive craniectomy for malignant middle cerebral artery infarction.

see Decompressive craniectomy for severe traumatic brain injury

Complications

Hemicraniectomy with a diameter of ≤10 cm, especially in combination with sharp trepanation edges, has been associated with an increased incidence of shearing injury to the herniated brain 1).

see Hydrocephalus after decompressive craniectomy.

1)
Wagner S, Schnippering H, Aschoff A, Koziol JA, Schwab S, Steiner T. Suboptimum hemicraniectomy as a cause of additional cerebral lesions in patients with malignant infarction of the middle cerebral artery. J Neurosurg.2001;94:693–696
unilateral_decompressive_craniectomy.txt · Last modified: 2018/09/02 10:31 by administrador