There were 21 patients who experienced END that received the following single or combined treatments: partial decompressive craniectomy
(8 patients), hematoma evacuation (6 patients), lateral ventricle puncture and drainage (5 patients), and surface hypothermia (13 patients).
Removal of intracranial haematoma and decompressive craniectomy
were performed under general anaesthesia.
Emergent decompressive craniectomy
with evacuation of the hematoma was performed.
There is history of alleged RTA 3 years back for which he underwent left-sided frontotemporoparietal craniectomy
followed by cranioplasty.
Patients requiring infratentorial approaches at our setup required a posterior fossa craniectomy
because of unavailability of equipment and hence were not included in the study.
That portion of the bone, although moved out of the way, remains attached and is replaced afterward - this distinguishes it from a craniectomy
, in which the piece of the skull that is taken out is fully removed, and can be replaced at a later date if at all.
Secondly, the procedures patients require can include craniotomy, craniectomy
, cranioplasty, cerebral angiography, external ventricular drain or subgaleal or lumbar spinal drain insertion, haematoma evacuations, tumour resections, intracranial pressure monitoring placement or deep brain stimulation placement for Parkinson's.
Flint and associates11 have investigated the expansion rates of intra-cerebral contusion after decompressive craniectomy
and showed that re-expansion occurred in 58% of patients and it was associated with higher mortality and prolonged morbidity.
Reversible middle cerebral artery occlusion without craniectomy
5) Though trauma may be an inciting factor, other etiologies reported have included hemophilia or iatrogenic anticoagulation, pituitary apoplexy, ruptured AVM, and decom-pressive craniectomy
Patients with cerebrospinal fluid leakage and/or external decompressive craniectomy
were excluded from the study because their intracranial compliance was influenced and the PRx calculation was unreliable.
G underwent a right upper lobectomy 5 years ago and neurosurgery with a right suboccipital craniectomy
for right-sided cerebellar metastatic tumor measuring 2 x 1 x 0.