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The aim of decompressive craniectomy is to reduce this pressure.
Treatment involves removal of the etiologic mass and decompressive craniectomy.
Infections such as meningitis or brain abscess can occur after decompressive craniectomy.
The study investigators found that decompressive craniectomy was associated with worse functional outcomes, as measured by a standard metric, than best medical care.
This is the only prospective randomised controlled study to date to support the potential benefit of decompressive craniectomy following traumatic brain injury.
Kocher later also found that decompressive craniectomy was an effective method to lower ICP.
Decompressive craniectomy is also used to manage major strokes, associated with "malignant" edema and intracranial hypertension.
Doctors removed one-quarter of his skull to relieve the pressure of his swelling brain during an operation known as a decompressive craniectomy.
Decompressive craniectomy is a neurosurgical procedure in which part of the skull is removed to allow a swelling brain room to expand without being squeezed.
Second line alternatives include decompressive craniectomy (Jagannathan et al. found a net 65% favorable outcomes rate in pediatric patients), barbiturate coma, hypertonic saline and hypothermia.
In addition to reducing ICP, studies have found decompressive craniectomy to improve cerebral perfusion pressure and cerebral blood flow in head injured patients.
Decompressive craniectomy (DC) is performed routinely in the very short period following TBI during operations to treat hematomas; part of the skull is removed temporarily (primary DC).
This was a randomized trial comparing decompressive craniectomy to best medical therapy run between 2002 and 2010 to assess the optimal management of patients with medically refractory ICP following diffuse non-penetrating head injury.
In severely head injured children, a study has shown that decompressive craniectomy resulted in good recovery in all children in the study, suggesting the procedure has an advantage over non-surgical treatment in children.
A drastic treatment for increased ICP is decompressive craniectomy, in which a part of the skull is removed and the dura mater is expanded to allow the brain to swell without crushing it or causing herniation.
While filming the scene where Keller and her team perform a Decompressive craniectomy on Weir, an actual brain surgeon performed the same procedure on a head model live from ten feet away, and directed the cast on what to do.
The day following the attack, Yousafzai was still being treated in the intensive care unit of the military hospital in Peshawar, where doctors performed a decompressive craniectomy, in which part of the skull is removed to allow room for the brain to swell.
The pooled evidence from three randomised controlled trials in Europe supports the retrospective observations that early (within 48 hours) application of decompressive craniectomy after "malignant" stroke may result in improved survival and functional outcome in patients under the age of 55, compared to conservative management alone.