Decompressive Craniectomy in Neurocritical Care

Erik G. Hayman; David B. Kurland; Zachary Grunwald; Sebastian Urday; Kevin N. Sheth; J. Marc Simard

doi:10.1055/s-0036-1592170

Seminars in Neurology, Inhaltsverzeichnis

Semin Neurol 2016; 36(06): 508-519
DOI: 10.1055/s-0036-1592170

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Decompressive Craniectomy in Neurocritical Care

Autor*innen

Erik G. Hayman

¹Departments of Neurosurgery, University of Maryland School of Medicine, Baltimore, Maryland
David B. Kurland

¹Departments of Neurosurgery, University of Maryland School of Medicine, Baltimore, Maryland
Zachary Grunwald

²Department of Neurology, Yale University School of Medicine, New Haven, Connecticut
Sebastian Urday

²Department of Neurology, Yale University School of Medicine, New Haven, Connecticut
Kevin N. Sheth

²Department of Neurology, Yale University School of Medicine, New Haven, Connecticut
J. Marc Simard

¹Departments of Neurosurgery, University of Maryland School of Medicine, Baltimore, Maryland

³Department of Pathology, University of Maryland School of Medicine, Baltimore, Maryland

⁴Department of Physiology, University of Maryland School of Medicine, Baltimore, Maryland

Abstract

Neurosurgeons increasingly use decompressive craniectomy (DC) in neurocritical care. In this review, the authors summarize the topic of DC for the neurointensivist. Following a brief overview of the procedure, the major indications for the procedure are described. This includes a review of the literature regarding well-established indications, such as infarction and traumatic brain injury, as well as lesser known indications, including intracerebral hemorrhage, ruptured cerebrovascular malformations, sinus thrombosis, and infection. Complications unique to DC, specifically syndrome of the trephined, hygroma, and hydrocephalus, also are reviewed with a discussion of their management, both in the immediate and the postoperative period.

Keywords

decompressive craniectomy - hemicraniectomy - traumatic brain injury - stroke - edema

Volltext

Referenzen

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