PDF | It is unclear whether decompressive craniectomy improves the functional outcome in patients with severe traumatic brain injury and. The Decompressive Craniectomy in Diffuse Traumatic Brain Injury or DECRA trial was the first neurosurgical randomized controlled trail that sought to answer. BACKGROUND It is unclear whether decompressive craniectomy improves the functional outcome in patients with severe traumatic brain injury and refractory.

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Results of an international survey. The results showed that, in contrast to medical care, decompressive craniectomy DC in patients with TBI and refractory intracranial hypertension can not only immediately and constantly reduce intracranial pressure ICP but, even more importantly, result in a nearly 20 percent reduction in mortality at 6 and 12 months. A preinformed consent in an uniform format was taken from all these patients for being a part trauumatic this study and their details to be published.

Oxford Textbooks in Psychiatry. Second, the optimal timing of DC. In one of the studies, Wilberger et al. Cerebral blood flow and braih following decompressive craniectomy for control of increased intracranial pressure. No long-term follow-up of patients was done.

The RESCUEicp study used more reasonable surgical options according to tomographic imaging and at the discretion of the surgeon bifrontal DC or hemi-craniectomy versus bifrontal DC alone.

Therefore, we have to ask ourselves: The outcome was measured by Glasgow outcome score at 6 months. Testing the Brain Trauma Ttaumatic guidelines for the treatment of severe traumatic brain injury.


The original primary outcome was an unfavorable outcome a composite of death, vegetative state, or decomprsssive disabilityas evaluated on the Extended Glasgow Outcome Scale 6 months after the injury. A series of consecutive cases.

Most of the studies done were retrospective with small patient populations of variable composition in terms of age and management criteria. Factors attributing to increased infection include larger scalp incisions, compromise of vascular pedicle to the flap or air sinuses from the large bone flap, and duroplasty using artificial substitutes.

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Please subscribe or login to access full text content. Decompressive craniectomy for severe traumatic brain injury reduces mortality but increases survival with severe disability. J Thorac Dis cranniectomy Braon Textbooks in Surgery. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recompressive codes of conduct and safety regulations.

Decompressive craniectomy in diffuse traumatic brain injury.

Oxford Respiratory Medicine Library. Although associated with complications, the risk of complications following DC should be weighed against the life-threatening circumstances under which this surgery is performed.


Most patients were of type V in 37 Decompressive craniectomy in diffuse traumatic brain injury. Taking this point into consideration, the role of DC in patient care with TBI has been an upcoming field for researchers also.

First, suitable population for DC. Sensory and Motor Systems. Overall mortality was in 13 Oxford Infectious Diseases Library. DC has been a treatment modality decomprfssive long with a controversial history. eiffuse

Molecular Biology and Genetics. Table 1 Distribution of patients as per age and gender in each decade.

Harin Reddy who helped us in collecting and analyzing the data. The final primary outcome was the score on the Extended Glasgow Outcome Scale at 6 months.

Decompresxive to intracranial hypertension treatment as a predictor of death in patients with severe traumatic brain injury. A comparison of craniotomy with decompressive craniectomy.

Decompressive craniectomy in diffuse traumatic brain injury.

It would be unfair on our parts if we do not acknowledge the names of people who have played an important role in helping us in the mammoth task of preparing this manuscript. Restorative Dentistry and Orthodontics. Cranial bony decompressions in the management of head injuries: Open in a separate window.

Journal List Asian J Neurosurg v. Oxford Textbooks in Palliative Medicine.