Decompressive Craniectomy for Intractable Intracranial Hypertension

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dc.authoridBAKAR, BULENT/0000-0002-6236-7647
dc.contributor.authorBaka, Bulent
dc.contributor.authorSumer, Mehmet Murat
dc.contributor.authorTekkok, Ismail Hakki
dc.date.accessioned2025-01-21T16:37:16Z
dc.date.available2025-01-21T16:37:16Z
dc.date.issued2012
dc.departmentKırıkkale Üniversitesi
dc.description.abstractAim: This retrospective study was established to analyse the effects of the decompressive craniectomy on patients with different causes of increased intracranial pressure. Material and Method: Nine patients at risk of developing malignant cerebral edema aged between 18 and 75 years were included in this study. Four patients suffered from severe traumatic brain injury, two patients from subarachnoid haemorrhage (SAH) and vasospastic ischemia, and 3 patients from malignant infarction of the middle cerebral artery. Results: Nine patients underwent decompressive craniectomy as the last therapeutic choice. At first admission mean intracranial pressure (ICP) was 22.6 +/- 6.7 mmHg; mean preoperative ICP value was 40.8 +/- 16.3 mmHg; and mean postoperative ICP value was 9.3 +/- 3.6 mmHg. In two patients bilateral; and in seven patients unilateral frontotemporoparietal craniectomy was preferred. Mean time of the re-implantation of the bone flap was 25.75 +/- 10.0 days. One patient with SAH died postoperatively and eight patients survived (mortality rate 11.1%). Mean value of the Glasgow Outcome Scale score as evaluated at 36 months after the decompression was approximately 4. Discussion: This surgical procedure is successful for treatment of the acute or delayed intractable intracerebral hypertension with a low rate of complication if it is performed timely and carefully.
dc.identifier.doi10.4328/JCAM.676
dc.identifier.endpage387
dc.identifier.issn1309-0720
dc.identifier.issn1309-2014
dc.identifier.issue4
dc.identifier.scopusqualityN/A
dc.identifier.startpage383
dc.identifier.urihttps://doi.org/10.4328/JCAM.676
dc.identifier.urihttps://hdl.handle.net/20.500.12587/24442
dc.identifier.volume3
dc.identifier.wosWOS:000215547600001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherDerman Medical Publ
dc.relation.ispartofJournal of Clinical and Analytical Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectIntracranial Pressure Increase; Outcome Assessment
dc.titleDecompressive Craniectomy for Intractable Intracranial Hypertension
dc.typeArticle

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