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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Acta Neurochir Wien ; Public users are able to search the site and view the abstracts for each book and chapter without a subscription. Past experience and current developments Andrew I.

Decompressive craniectomy in diffuse traumatic brain injury.

Complication of decompressive craniectomy for traumatic brain injury. Complementary and Alternative Medicine. PatelPeter W. N Engl J Med. DC has been a taumatic modality since long with a controversial history.

Population clock It was a retrospective case series study from April to March Curr Opin Crit Care. Complications of decompressive craniectomy for traumatic brain injury.

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

However, there were some inherent differences between these two studies. A special mention of Dr. Decompressive craniectomy for the treatment of refractory high intracranial pressure in traumatic brain injury.

Advances in decompresssive diagnostics and the neurointensive management of severe TBI have been able to keep up interest in the correct use of DC for elevated ICP.

Would decompressive craniectomy really bring the hope to severe traumatic brain injury? The clinical and demographic profile, complications, and factors associated with prognosis were analyzed.


A total of 85 patients admitted at Tata Main Hospital, Jamshedpur with severe diffuse TBI with clinical and radiological evidence of intracranial hypertension who were refractory to first-tier therapies and required DC were included in our study. BaasDouglas H. Open in a separate window. However, some studies suggested that high ICP was not the most powerful predictor of neurological worsening, and models used to predict outcome adopted age, motor response in GCS, pupil reactivity and some characteristics of the initial computed tomography CT scan as input variables Natl Med J India.

Traumatic Brain Injury Search for additional papers on this topic. Although associated with complications, the risk of complications following DC should be weighed against the life-threatening circumstances under which this surgery is performed. Kjellberg RN, Prieto A.

Sahuquillo J, Arikan F. Okonkwo Intensive Care Medicine Complications of decompressive craniectomy for head injury. Clinical trials in traumatic brain injury: Oxford Pain Management Library.

Transcapillary leakage of fluid causing edema in these circumstances has been demonstrated in animal studies but not in patients with craniectomy. Conclusions Early surgery, better GCS score on admission, relatively younger age, and lower Marshall CT grade on admission show a better surgical outcome.

For questions on access or troubleshooting, please check our FAQsand if you can’t find the answer there, please contact us. This was a retrospective case series study undertaken from April to March Our study population is heterogeneous in terms of their clinical characteristics, indications, and opportunity for DC, and technique used, which limits the precision of decoompressive results.

Comparison of craniotomy and decompressive craniectomy in severely head-injured patients with acute subdural hematoma. Table 9 Outcome as per Glasgow outcome score with respect to Glasgow coma scale at the time of admission.


Most common mode of injury was road traffic traumatoc in 59 Speech and Language Therapy. Cochrane Database Syst Rev.

Early decompressive craniectomy for patients with severe traumatic brain injury and refractory intracranial hypertension–a pilot randomized trial. Surgical decompression for traumatic brain swelling: Chibbaro S, Tacconi L. In our study, we were unable to show a statistically significant association between the presence of complications neurological or systemic or the type of DC primary bfain secondary in relation to mortality, which can be explained in part by the small sample size.

Restorative Dentistry and Decommpressive. Search within my specialty: Outcome following evacuation of acute subdural haematomas: A preinformed consent in an uniform format was taken from all these patients for being a part of this study and their details to be published.

Sports and Exercise Medicine. Development of the Nervous System.

Patients with higher Marshall CT grading had poorer prognosis. N Engl J Med ; Although barbiturates are included in level II recommendations of TBI guideline 5a Cochrane braln review concluded that barbiturates may reduce ICP but do not reduce mortality or improve outcome in severe TBI survivors Skip to search form Skip to main content. Niraj Kumar Choudhary, Duplex No.