Decompressive Hemicraniectomy in Acute Neurological Diseases.
Publication/Presentation Date
10-1-2016
Abstract
Increased intracranial pressure (ICP) secondary to severe brain injury is common. Increased ICP is commonly encountered in malignant middle cerebral artery ischemic stroke, traumatic brain injury, subarachnoid hemorrhage, and intracerebral hemorrhage. Multiple interventions-both medical and surgical-exist to manage increased ICP. Medical management is used as first-line therapy; however, it is not always effective and is associated with significant risks. Decompressive hemicraniectomy is a surgical option to reduce ICP, increase cerebral compliance, and increase cerebral blood perfusion when medical management becomes insufficient. The purpose of this review is to provide an up-to-date summary of the use of decompressive hemicraniectomy for the management of refractory elevated ICP in malignant middle cerebral artery ischemic stroke, traumatic brain injury, subarachnoid hemorrhage, and intracerebral hemorrhage.
Volume
31
Issue
9
First Page
587
Last Page
596
ISSN
1525-1489
Published In/Presented At
Crudele, A., Shah, S. O., & Bar, B. (2016). Decompressive Hemicraniectomy in Acute Neurological Diseases. Journal of intensive care medicine, 31(9), 587–596. https://doi.org/10.1177/0885066615601607
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
26324162
Department(s)
Administration and Leadership
Document Type
Article