Decompressive Hemicraniectomy in Acute Neurological Diseases

Journal of Intensive Care Medicine
Angela CrudeleBarak Bar

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.

References

Apr 18, 2001·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·A TaylorJ Tibballs
Apr 20, 2006·Journal of Neurosurgery·Bizhan AarabiHoward M Eisenberg
Feb 3, 2007·Stroke; a Journal of Cerebral Circulation·Clemens M SchirmerAdel M Malek
Feb 17, 2007·Lancet Neurology·Katayoun VahediUNKNOWN DECIMAL, DESTINY, and HAMLET investigators
Aug 11, 2007·Stroke; a Journal of Cerebral Circulation·Eric JüttlerUNKNOWN DESTINY Study Group
Dec 27, 2008·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·R RamnarayanRani Nayar
Jun 18, 2009·Journal of Neurology, Neurosurgery, and Psychiatry·E GüresirJ Beck
Nov 26, 2009·Critical Care : the Official Journal of the Critical Care Forum·Wusi QiuWeiming Wang
May 11, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Li MaJin-Seng Chen
Jul 24, 2010·Stroke; a Journal of Cerebral Circulation·Lewis B MorgensternUNKNOWN American Heart Association Stroke Council and Council on Cardiovascular Nursing
Jan 6, 2011·International Journal of Stroke : Official Journal of the International Stroke Society·Eric JüttlerUNKNOWN DESTINY II Study Group
Mar 26, 2011·The New England Journal of Medicine·D James CooperUNKNOWN Australian and New Zealand Intensive Care Society Clinical Trials Group
Apr 16, 2011·World Neurosurgery·Christian DorferAndreas Gruber
Jun 16, 2011·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Ahmed Al-JishiJudith Marcoux
Mar 29, 2012·Journal of Neurotrauma·Brian P WalcottWael F Asaad
Nov 1, 2012·Stroke; a Journal of Cerebral Circulation·Christian FungJürgen Beck
Dec 14, 2012·The New England Journal of Medicine·Randall M ChesnutUNKNOWN Global Neurotrauma Research Group
Oct 9, 2013·Current Neurology and Neuroscience Reports·Leif-Erik Bohman, James M Schuster
Jan 16, 2014·Stroke; a Journal of Cerebral Circulation·Jeffrey I FrankUNKNOWN HeADDFIRST Trialists
Feb 20, 2014·Neurocritical Care·Hermann NeugebauerEric Jüttler
Mar 22, 2014·The New England Journal of Medicine·Eric JüttlerUNKNOWN DESTINY II Investigators
Jun 3, 2015·Neurocritical Care·David B KurlandJ Marc Simard

❮ Previous
Next ❯

Citations

Jan 14, 2016·Current Neurology and Neuroscience Reports·Jacqueline KraftFred Rincon
Apr 11, 2018·Nursing·Vincent M Vacca, Isabel Argento
May 17, 2021·Mayo Clinic Proceedings·Rabih G TawkWilliam D Freeman

❮ Previous
Next ❯

Software Mentioned

HeADDFIRST
DECRA
DECIMAL
HAMLET
DESTINY

Related Concepts

Related Feeds

Acute Stroke

A stroke occurs when blood supply to the brain is interrupted depriving the brain of oxygen and nutrients. This feed focuses cerebrovascular accidents including ischemic and paralytic stroke.

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.