<abstract xmlns="http://www.w3.org/1999/xhtml"> Background: Decompressing craniectomy (DC) is an important method for the management of severe traumatic brain injury (TBI).Objective: To analyze the effect of prophylactic DC within 24 hours after head trauma TBI.Methods: Seventy-two patients undergoing prophylactic DC for severe TBI were included in this retrospective study. Both of the early and late outcomes were studied and the prognostic factors were analyzed.Results: In this series, cumulative death in the first 30 days after DC was 26%, and 28 (53%) of 53 survivors in the first month had a good outcomes. The factors including Glasgow Coma Score (GCS) score at admission, whether the patient had an abnormal pupil response and whether the midline shift was greater than 5 mm were most important prognostic factors for the prediction of death in the first 30 days and the final outcome at 6 months after DC.Conclusion: Prophylactic DC plays an important role in the management of highly elevated ICP, especially when other methods of reduction of ICP are unavailable.</abstract>

Background: Decompressing craniectomy (DC) is an important method for the management of severe traumatic brain injury (TBI).Objective: To analyze the effect of prophylactic DC within 24 hours after head trauma TBI.Methods: Seventy-two patients undergoing prophylactic DC for severe TBI were included in this retrospective study. Both of the early and late outcomes were studied and the prognostic factors were analyzed.Results: In this series, cumulative death in the first 30 days after DC was 26%, and 28 (53%) of 53 survivors in the first month had a good outcomes. The factors including Glasgow Coma Score (GCS) score at admission, whether the patient had an abnormal pupil response and whether the midline shift was greater than 5 mm were most important prognostic factors for the prediction of death in the first 30 days and the final outcome at 6 months after DC.Conclusion: Prophylactic DC plays an important role in the management of highly elevated ICP, especially when other methods of reduction of ICP are unavailable.

Early decompressing craniectomy in patients with traumatic brain injury and cerebral edema

Department of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003,

Asian Biomedicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Background: Decompressing craniectomy (DC) is an important method for the management of severe traumatic brain injury (TBI).Objective: To analyze the effect of...

Early decompressing craniectomy in patients with traumatic brain injury and cerebral edema

Article Category: Brief communication (Original)

Published Online: Feb 04, 2017

Page range: 53 - 59

DOI: https://doi.org/10.5372/1905-7415.0801.261

Keywords
Decompressing craniectomy, outcome, traumatic brain injury

© 2017

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Early decompressing craniectomy in patients with traumatic brain injury and cerebral edema

Article Category: Brief communication (Original)

Published Online: Feb 04, 2017

Page range: 53 - 59

DOI: https://doi.org/10.5372/1905-7415.0801.261

KeywordsDecompressing craniectomy, outcome, traumatic brain injury

© 2017

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
Decompressing craniectomy, outcome, traumatic brain injury