Decompressive Craniectomy

Decompressive craniectomy is indicated in patients with persistent elevated ICP refractory to medical treatments. In patients with unilateral swelling following hematoma evacuation or tumor resection, hemicraniectomy or removal of a large cranial flap with dural patching has been successful in reducing ICP. In patients with cerebral edema of both hemispheres, bilateral craniectomy may be necessary. Rarely, removal of damaged tissue or lobectomy may be performed as a last-ditch effort to decrease the intracranial contents in the most severe cases of intracranial hypertension. This procedure appears to be effective both for traumatic brain injury as well as for swelling secondary to stroke or subarachnoid hemorrhage. A multicenter trial to assess its efficacy as an early treatment for traumatic brain injury will determine its future role as a definitive treatment for intracranial hypertension [10].

Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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