Outcome of Acute Subdural Haematoma Following Decompressive Hemicraniectomy

Severe Traumatic Brain Injury in Austria V: CT findings and surgical management

“…Decompressive craniectomy was done most frequently on patients with SDH+ SAH+INT, and these patients had a mortality of 54%. Earlier studies [15] confirm that DEC may decrease ICP in patients with SDH, but does not improve outcome (mortality 67%), and other authors [9,16] report a mortality of 100% for patients with SDH and DEC. Many studies assess the effects of DEC as a "second line" therapy for lowering ICP or/and mortality [6,[17][18][19].…”

Comparison of craniotomy and craniectomy in patients with acute subdural haematoma

“…3,6 Shigemori et al, in a series of 15 patients, found a slightly improved recovery and lower mortality in patients with bone flap removal and external drainage, but the results were not statistically significant. 8 Yanaka et al also found no significant difference related to type of surgery. They compared patients having a craniotomy with a small group treated with decompression via trephination with haematoma irrigation.…”

“…6 Despite the increasing acceptance of craniectomy in patients with traumatic brain injury, the value of early decompressive craniectomy in patients with acute subdural haematoma is still under debate. 1,[7][8][9] The aim of this study was to extend the information in this field.…”

Prognostic factors in severely head injured adult patients with acute subdural haematoma's

“…Decompressive hemicraniectomy is effective in reducing ICP in all patients [29] except for the cases that developed acute brain swelling. The mortality, in this small series of 15 patients, was high: 67%.…”