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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Format: | Article |
Language: | English |
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Taylor & Francis Group
2010-01-01
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Series: | Libyan Journal of Medicine |
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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. |
first_indexed | 2024-12-16T12:39:13Z |
format | Article |
id | doaj.art-8668bf539fc94f9e8365505f50a16688 |
institution | Directory Open Access Journal |
issn | 1819-6357 |
language | English |
last_indexed | 2024-12-16T12:39:13Z |
publishDate | 2010-01-01 |
publisher | Taylor & Francis Group |
record_format | Article |
series | Libyan Journal of Medicine |
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 |