Decompressive Craniectomy Following Brain Injury: Factors Important to Patient Outcome

Background: Decompressive craniectomy is often performed as an empirical lifesaving measure to protect the injured brain from the damaging effects of propagating oedema and intracranial hypertension. However, there are no clearly defined indications or specified guidelines for patient selection for...

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Main Authors: Eghwrudjakpor PO, Allison AB
Format: Article
Language:English
Published: Taylor & Francis Group 2010-01-01
Series:Libyan Journal of Medicine
Subjects:
Online Access:http://2657.indexcopernicus.com/fulltxt.php?ICID=897614
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author Eghwrudjakpor PO
Allison AB
author_facet Eghwrudjakpor PO
Allison AB
author_sort Eghwrudjakpor PO
collection DOAJ
description Background: Decompressive craniectomy is often performed as an empirical lifesaving measure to protect the injured brain from the damaging effects of propagating oedema and intracranial hypertension. However, there are no clearly defined indications or specified guidelines for patient selection for the procedure. Aims: To evaluate outcome determinants and factors important in patientselection for the procedure. Methods: We reviewed the literature on decompressive craniectomy, including single case reports and reported case series, to identify factors affecting outcome followingthe procedure, as well as its pitfalls and associated complications. Results: Glasgow coma score of 8 and above, age less than 50 years and early intervention were found to be among the most significantdeterminants of prognosis. Conclusion: Improving patient selection for decompressive craniectomy may be expected to further improve the outcome following the procedure in severely brain injured patients.
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spelling doaj.art-8668bf539fc94f9e8365505f50a166882022-12-21T22:31:28ZengTaylor & Francis GroupLibyan Journal of Medicine1819-63572010-01-015091104Decompressive Craniectomy Following Brain Injury: Factors Important to Patient OutcomeEghwrudjakpor POAllison ABBackground: Decompressive craniectomy is often performed as an empirical lifesaving measure to protect the injured brain from the damaging effects of propagating oedema and intracranial hypertension. However, there are no clearly defined indications or specified guidelines for patient selection for the procedure. Aims: To evaluate outcome determinants and factors important in patientselection for the procedure. Methods: We reviewed the literature on decompressive craniectomy, including single case reports and reported case series, to identify factors affecting outcome followingthe procedure, as well as its pitfalls and associated complications. Results: Glasgow coma score of 8 and above, age less than 50 years and early intervention were found to be among the most significantdeterminants of prognosis. Conclusion: Improving patient selection for decompressive craniectomy may be expected to further improve the outcome following the procedure in severely brain injured patients.http://2657.indexcopernicus.com/fulltxt.php?ICID=897614Decompressive craniectomyIndicationsIntracranial hypertensionOutcomePatient selection
spellingShingle Eghwrudjakpor PO
Allison AB
Decompressive Craniectomy Following Brain Injury: Factors Important to Patient Outcome
Libyan Journal of Medicine
Decompressive craniectomy
Indications
Intracranial hypertension
Outcome
Patient selection
title Decompressive Craniectomy Following Brain Injury: Factors Important to Patient Outcome
title_full Decompressive Craniectomy Following Brain Injury: Factors Important to Patient Outcome
title_fullStr Decompressive Craniectomy Following Brain Injury: Factors Important to Patient Outcome
title_full_unstemmed Decompressive Craniectomy Following Brain Injury: Factors Important to Patient Outcome
title_short Decompressive Craniectomy Following Brain Injury: Factors Important to Patient Outcome
title_sort decompressive craniectomy following brain injury factors important to patient outcome
topic Decompressive craniectomy
Indications
Intracranial hypertension
Outcome
Patient selection
url http://2657.indexcopernicus.com/fulltxt.php?ICID=897614
work_keys_str_mv AT eghwrudjakporpo decompressivecraniectomyfollowingbraininjuryfactorsimportanttopatientoutcome
AT allisonab decompressivecraniectomyfollowingbraininjuryfactorsimportanttopatientoutcome