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The History of Decompressive Craniectomy in Traumatic Brain Injury
- Source :
- Frontiers in Neurology, Vol 10 (2019), Frontiers in Neurology
- Publication Year :
- 2019
- Publisher :
- Frontiers Media S.A., 2019.
-
Abstract
- Decompressive craniectomy consists of removal of piece of bone of the skull in order to reduce intracranial pressure. It is an age-old procedure, taking ancient roots from the Egyptians and Romans, passing through the experience of Berengario da Carpi, until Theodore Kocher, who was the first to systematically describe this procedure in traumatic brain injury (TBI). In the last century, many neurosurgeons have reported their experience, using different techniques of decompressive craniectomy following head trauma, with conflicting results. It is thanks to the successes and failures reported by these authors that we are now able to better understand the pathophysiology of brain swelling in head trauma and the role of decompressive craniectomy in mitigating intracranial hypertension and its impact on clinical outcome. Following a historical description, we will describe the steps that led to the conception of the recent randomized clinical trials, which have taught us that decompressive craniectomy is still a last-tier measure, and decisions to recommend it should been made not only according to clinical indications but also after consideration of patients' preferences and quality of life expectations.
- Subjects :
- medicine.medical_specialty
Traumatic brain injury
Mini Review
medicine.medical_treatment
history of head trauma
bifrontal craniectomy
lcsh:RC346-429
Head trauma
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Quality of life
brain decompression
law
medicine
Brain swelling
030212 general & internal medicine
lcsh:Neurology. Diseases of the nervous system
Intracranial pressure
decompressive craniectomy
business.industry
General surgery
traumatic brain injury
medicine.disease
3. Good health
hemicraniectomy
Skull
medicine.anatomical_structure
Neurology
intracranial hypertension
Decompressive craniectomy
Neurology (clinical)
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 16642295
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Frontiers in Neurology
- Accession number :
- edsair.doi.dedup.....c209873d609a4f577ad00d9419d7f230