Article
Clinical Neurology
Elisabetta Marton, Enrico Giordan, Paolo Gallinaro, Christian Curzi, Diletta Trojan, Adolfo Paolin, Angela Guerriero, Sabrina Rossi, Matteo Bendini, Pierluigi Longatti, Giuseppe Canova
Summary: By comparing the performance of human amniotic membrane (AM) as a dural substitute, the study found that AM has a higher integration rate and lower adhesion rate. Amniotic membrane substitutes provide better protection and integration for patients after decompressive craniectomies.
JOURNAL OF CLINICAL NEUROSCIENCE
(2021)
Editorial Material
Medicine, General & Internal
Shankar Gopinath
Summary: Traumatic acute subdural hematomas often require emergency evacuation of the blood clot to prevent further cerebral compression and its consequences. After clot removal, the decision whether to replace the bone flap (craniotomy) or not (decompressive craniectomy) is crucial for neurosurgeons. In certain situations, the decision is relatively straightforward, such as in older individuals with atrophic brains or patients with massively swollen brains, where the bone flap should or should not be replaced.
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Article
Clinical Neurology
Xiansheng Qiu, Dong Wang, Li Chen, Guanlin Huang, Xiaoping Zhou, Qiang Chen, Zhanxiang Wang
Summary: This study evaluated the safety and efficacy of different surgical sequences of CP and VPS after DC surgery and identified risk factors for necessary permanent VPS. It was found that priority CP reduced the incidence of VPS surgery without affecting surgical outcomes and complications.
FRONTIERS IN NEUROLOGY
(2023)
Article
Multidisciplinary Sciences
Michael Kosterhon, Eva Ruegg, Malte Ottenhausen, Anne Kuehn, Florian Ringel, Max Jaegersberg
Summary: This study analyzed CT data of patients who underwent craniectomy and conventional CAD cranioplasty to assess the volume and localization of the hollowing defect in the temporozygomatical area. The results revealed the average defect volume and localization, as well as the impact of temporal muscle restoration on cosmetic outcomes. The findings suggest the importance of surgical corrective actions during cranioplasty to achieve better aesthetic results.
Article
Clinical Neurology
Pankaj Kumar, Chhitij Srivastava, Ankur Bajaj, Awadhesh Yadav, Bal Krishna Ojha
Summary: This study compared open and closed surgical procedures for decompressive craniectomy and found that both methods had no significant impact on survival, GCS and GOS-E scores. Open dural surgery had a shorter procedure time and no significant surgical consequences.
JOURNAL OF CLINICAL NEUROSCIENCE
(2023)
Article
Clinical Neurology
Andrew McGee, Dale Gardiner
Summary: Should the criterion for death require permanent or irreversible cessation of function? Permanent means loss of function that cannot resume spontaneously and will not be restored through intervention. Irreversible means loss of function that cannot resume spontaneously and cannot be restored through intervention. Cessation of function can refer to the circulatory-respiratory standard or the neurologic standard. In this article, we explain why the criterion need only require permanent cessation of function.
Review
Clinical Neurology
David Shepetovsky, Gianluca Mezzini, Lorenzo Magrassi
Summary: This study investigated the relationship between complications after cranioplasty (CP) and the initial injury, showing that TBI patients have increased odds of bone flap resorption (BFR) and infection after CP. This highlights the importance of implementing new strategies to prevent these complications in TBI patients.
NEUROSURGICAL REVIEW
(2021)
Article
Multidisciplinary Sciences
Marvin Darkwah Oppong, Karsten H. Wrede, Daniela Mueller, Alejandro N. Santos, Laurel Rauschenbach, Thiemo F. Dinger, Yahya Ahmadipour, Daniela Pierscianek, Mehdi Chihi, Yan Li, Cornelius Deuschl, Ulrich Sure, Ramazan Jabbarli
Summary: The partial pressure of carbon dioxide (PaCO2) in arterial blood plays a crucial role in regulating cerebral blood flow and influencing complications after acute brain injury. Maintaining PaCO2 levels within the range of 30-38 mmHg is associated with a reduced risk of decompressive craniectomy, delayed cerebral ischemia (DCI), and poor patient outcomes in aneurysmal subarachnoid hemorrhage (aSAH) cases.
SCIENTIFIC REPORTS
(2021)
Article
Clinical Neurology
Giorgio M. Callovini, Andrea Bolognini, Tommaso Callovini, Marco Giordano, Roberto Gazzeri
Summary: This study evaluated the surgical treatment of infections related to the use of a dural substitute with concurrent CSF leakage in decompressive craniectomy patients, showing successful resolution of infection and CSF leaks after removing the substitute and implanting fascia lata. Autologous fascia lata is a cost-effective option for reconstruction and integration with the native dura, providing lasting vitality and successful infection suppression.
BRITISH JOURNAL OF NEUROSURGERY
(2021)
Article
Surgery
Tyler J. Johnston, Ian F. Hulsebos, Phillip A. Bonney, Yu-Tung Wu, Cameron A. Ghafil, Makoto Aoki, Reynold Henry, Natthida Owattanapanich, Kenji Inaba, Kazuhide Matsushima
Summary: This study compared the practice patterns and patient outcomes of severe traumatic brain injury between two study periods over the past decade. The use of decompressive craniectomy has decreased over time, while in-hospital mortality has increased and discharge to home/rehab has improved.
Article
Clinical Neurology
Jun Nishiyama, Takahiro Osada, Mitsunori Matsumae
Summary: The study describes a simple and effective technique for external reduction of ICP in patients at risk of brain bulging during DC, using crank-shaped dural incisions to reduce brain swelling and form dural windows to control intracranial pressure. This method is quick and intuitive, yielding positive outcomes in the initial experiences of patients.
NEUROLOGIA MEDICO-CHIRURGICA
(2021)
Review
Clinical Neurology
Saad Moughal, Sarah Trippier, Alaa AL-Mousa, Atticus H. Hainsworth, Anthony C. Pereira, Pawanjit S. Minhas, Anan Shtaya
Summary: This study compared the effectiveness of strokectomy and hemicraniectomy in the treatment of malignant MCA infarction through data analysis and meta-analysis. The results showed that strokectomy may have smaller craniotomy diameter, fewer complications, and better treatment outcomes compared to hemicraniectomy.
JOURNAL OF NEUROLOGY
(2022)
Article
Clinical Neurology
Christian Baastrup Sondergaard, Chiara Villa, Christina Jacobsen, Alexander Lilja-Cyron, Kare Fugleholm
Summary: This study compared the difference in pressure-volume relationship between decompressive hinge craniotomy (DHC), decompressive craniectomy (DC), and bone plate fixation for elevated intracranial pressure (ICP). The results showed that DHC can increase the intracranial volume by up to 84 ml and allow for approximately 60 ml increase before ICP exceeds 20 mmHg.
ACTA NEUROCHIRURGICA
(2023)
Article
Emergency Medicine
Martin Hanko, Jakub Sorsak, Pavol Snopko, Rene Opsenak, Kamil Zelenak, Branislav Kolarovszki
Summary: Decompressive craniectomy is an effective measure to reduce intracranial pressure, but is associated with numerous early postoperative complications. The most frequent complication is the development of extraaxial fluid collection. Different risk factors are linked with various complications, but neither the duration of the surgery nor the surgeon's qualification affect their occurrence.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2021)
Article
Clinical Neurology
Matthew Pease, Arka N. N. Mallela, Jonathan Elmer, David O. O. Okonkwo, Lori Shutter, Niravkumar Barot, Jorge Gonzalez-Martinez, James F. F. Castellano
Summary: Posttraumatic epilepsy (PTE) is associated with worse functional outcomes and impaired recovery from severe traumatic brain injury (TBI). The proportion of patients with favorable outcomes was significantly lower at 6, 12, and 24 months in the PTE group, mainly due to higher rates of vegitative and severe disability outcomes. Early screening and treatment for PTE may improve patient outcomes.