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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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 recent codes of conduct and safety regulations. Speech and Language Therapy.

Showing of 44 extracted citations. Clinical trials in traumatic brain injury: Although associated with complications, the risk of complications following DC should be weighed against the life-threatening circumstances under which this surgery is performed. Mean age of presentation was 36 years.

Medical Microbiology and Virology. Table 9 Outcome as per Glasgow outcome score with respect to Glasgow coma scale at the time of admission. David Jamie CooperJeffrey V. These patients show a very rapid progression toward intractable raised ICP, which becomes unresponsive to medical management if surgical intervention is delayed.

Cerebral blood flow and metabolism following decompressive craniectomy for control of increased intracranial pressure.

Our study also has several limitations. Most of the patients were of age group 31—40 years in In the 4th edition guidelines of management of severe TBI injurry just emerged on September of this year, DC as a new topic was included for the first time 5.


Decompressive craniectomy in diffuse traumatic brain injury.

A Cochrane Collaboration review in [ 8 ] showed only one randomized study in children. Patients with higher Marshall CT grading had poorer prognosis.

Decompressive craniectomy in dirfuse traumatic brain injury. Erratum in N Engl J Med. Although a series of clinical studies demonstrated that DC is the most effective treatment in reducing ICP, the effect on outcome of severe TBI has yet to be clearly established 34. Oxford Respiratory Medicine Library. Primary decompressive craniectomy for acute subdural haematomas: This paper has been referenced on Twitter 95 times over the past 90 days.

Decompressive craniectomy in diffuse traumatic brain injury. – Semantic Scholar

Complications of cranioplasty following decompressive craniectomy: Skip to search form Skip to main content. Response to intracranial hypertension treatment as a predictor of death in patients with severe traumatic brain injury.

Chibbaro S, Tacconi L. Exploring the beneficiary patient population and operation timing remain the prime concerns. Mortality was more in patient ttaumatic GCS 4—6 Table 3 Number of patients with Glasgow coma scale at the time of bain. Curr Opin Crit Care. Morbidity, mortality, and operative timing. Acknowledgment 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.

Surgical complications secondary to decompressive craniectomy in patients with a head injury: Search within my specialty: Reproduction, Growth and Development. However, there were some inherent differences between these two studies. Most patients were of type V in 37 Sign in with your library card. Cite this article as: For Brian, we cannot give it up too early or cannot stick to it too blindly.


We would like to mention that no fund traujatic scholarships were used for this study. Sensory and Motor Systems. With the description of intramuscular methods of making the bone defect in temporal and occipital regions.

Decompressive Craniectomy in Diffuse Traumatic Brain Injury: An Industrial Hospital Study

This was a retrospective case series study undertaken from April to March Table 10 Outcome as per Glasgow outcome scale of treatment in different age groups. German Neurosurgical focus At last stage of the protocol of the RESCUEicp trial, patients were randomly assigned to undergo DC with medical therapy or to receive continued medical therapy with the option of adding barbiturates to traumwtic the ICP.

Mutsumi NagaiMami Ishikawa World neurosurgery Inspite of all measures to control elevated ICP, mortality and morbidity remains high. Oral and Maxillofacial Surgery. Gastro-intestinal and Traumayic Surgery. Most of the studies done were retrospective with small patient populations of variable composition in terms of age and management criteria.

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