Abstract
Traumatic brain injury has been called the "signature injury" of the wars in Iraq and Afghanistan, and the management of severe and penetrating brain injury has evolved considerably based on the experiences of military neurosurgeons. Current guidelines recommend that decompressive hemicraniectomy be performed with large, frontotemporoparietal bone flaps, but practice patterns vary markedly. The following case is illustrative of potential clinical courses, complications, and efforts to salvage inadequately-sized decompressive craniectomies performed for combat-related severe and penetrating brain injury. The authors follow this with a review of the current literature pertaining to decompressive craniectomy, and finally provide their recommendations for some of the technical nuances of performing decompressive hemicraniectomy after severe or penetrating brain injury.
References
Aug 15, 2000·Neurosurgery·E MünchP Schmiedek
Jun 9, 2005·Journal of Neurotrauma·Ji-Yao JiangQi-Zhong Luo
Oct 6, 2006·Journal of Neurotrauma·Thomas S SkoglundBertil Rydenhag
Jun 30, 2007·Journal of Neurotrauma·Magnus OlivecronaLars-Owe D Koskinen
Jun 12, 2009·The Journal of Trauma·Randy S BellRocco A Armonda
Nov 26, 2009·Critical Care : the Official Journal of the Critical Care Forum·Wusi QiuWeiming Wang
Jun 24, 2010·Neurosurgical Focus·Randy S BellRocco A Armonda
Jun 24, 2010·Neurosurgical Focus·Brian T RagelRocco A Armonda
Jan 11, 2011·The Journal of Trauma·Joseph J DuBoseLorne Blackbourne
Mar 26, 2011·The New England Journal of Medicine·D James CooperUNKNOWN Australian and New Zealand Intensive Care Society Clinical Trials Group
Mar 29, 2011·Journal of Neurosurgery·Robert D EckerRocco A Armonda
Mar 10, 2012·Acta neurochirurgica·Fernanda TagliaferriFranco Servadei
Nov 29, 2012·The Journal of Trauma and Acute Care Surgery·Allison B WeisbrodJames R Dunne
Jul 26, 2013·Lancet Neurology·Jeffrey V RosenfeldGeoffrey S Ling
Feb 14, 2014·Journal of Patient Safety·Barbara CraneLorraine McCafferty
Dec 3, 2014·World Journal of Surgery·Jeffrey V RosenfeldRocco Armonda
Mar 17, 2016·Surgical Neurology International·George FotakopoulosKostas N Fountas
Aug 29, 2016·World Neurosurgery·Kate Millar, Sam Eljamel
Sep 8, 2016·The New England Journal of Medicine·Peter J HutchinsonUNKNOWN RESCUEicp Trial Collaborators
Sep 23, 2016·Neurosurgery·Nancy CarneyJamshid Ghajar