Surgical options in ICH including decompressive craniectomy

Mitchell, Patrick; Gregson, Barbara; Vindlacheruvu, Raghu; Mendelow, AD

doi:10.1016/j.jns.2007.04.040

Cited by 38 publications

(35 citation statements)

References 83 publications

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“…Also permits a great temporal fossa exposition. Skirting the ear avoids the superficial temporal artery; it ensures a good blood flow to the skin flap [67]. Now, the periostium can be incised using an electrocautery knife, and then, the cutaneous flap can be reflected.…”

Section: Large Reverse Question Mark Frontotemporoparietal Incisionmentioning

confidence: 99%

“…Now, the periostium can be incised using an electrocautery knife, and then, the cutaneous flap can be reflected. The temporalis muscle can be reflected in two ways [67]:…”

Section: Large Reverse Question Mark Frontotemporoparietal Incisionmentioning

confidence: 99%

“…The scalp is incised in the midline from the widow's peak to the inion, after this, is created a limb to the incision, forming the «T-bar» from 1-2cm anterior to the tragus, extending superiorly, 1cm behind the coronal suture until find the midline sagittal incision [65][66][67] Skin incisions for bilateral decompressive craniectomies Bilateral craniectomies are especially useful in cases of bilateral frontal contusions or generalized cerebral edema without focal lesion [65]. Can be performed in two ways:…”

Section: Lg Kempe Modified Incision or Midline Sagittal Incision Wimentioning

confidence: 99%

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Decompressive craniectomy in traumatic brain injury: Quo Vadis?

et al. 2014

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Intracranial hypertension is the leading cause of mortality in patients with cranial injury. Currently the traumatic brain injury is a public health problem worldwide. Decompressive craniectomy emerges as a treatment strategy for patients with refractory intracranial hypertension. The completed surgery requires careful surgical technique and exquisite. We present a review of the literature about the technique.

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Section: Large Reverse Question Mark Frontotemporoparietal Incisionmentioning

confidence: 99%

“…Now, the periostium can be incised using an electrocautery knife, and then, the cutaneous flap can be reflected. The temporalis muscle can be reflected in two ways [67]:…”

Section: Large Reverse Question Mark Frontotemporoparietal Incisionmentioning

confidence: 99%

Section: Lg Kempe Modified Incision or Midline Sagittal Incision Wimentioning

confidence: 99%

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Decompressive craniectomy in traumatic brain injury: Quo Vadis?

et al. 2014

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“…Intracerebral hemorrhage (ICH) is one of the most devastating types of stroke with a high mortality of 35%-52% at 30 days after onset and only about 20% of survivals are capable of living independently at the 6 months after ICH (Broderick et al 2007;Mitchell et al 2007). Stereotactic evacuation of the hemorrhage has gained broader acceptance recently because of the reduced damage of the overlying normal brain as opposed to conventional surgical removal of the hematoma, but in fact clinically effective treatments for ICH are still very few (Mitchell et al 2007;Carhuapoma et al 2008;Wang et al 2009).…”

mentioning

confidence: 99%

“…Stereotactic evacuation of the hemorrhage has gained broader acceptance recently because of the reduced damage of the overlying normal brain as opposed to conventional surgical removal of the hematoma, but in fact clinically effective treatments for ICH are still very few (Mitchell et al 2007;Carhuapoma et al 2008;Wang et al 2009). To effectively treat ICH, a better understanding of the pathophysiological and pathochemical mechanisms that lead to brain injury from ICH is necessary.…”

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confidence: 99%