title: [Decompressive craniotomy for the early treatment of traumatic intracranial hypertension].
abstract: There is no clear role for decompressive craniotomy (DC) for the intracranial hypertension (ICH) treatment in the literature. Actually, there is a lack of class I or II published data for DC, so it is recomended as a second tier option for the refractory ICH. Recent studies has analized the role of early DC for pos traumatic ICH. The present study analizes 21 patients who has received the early DC for the treatment of traumatic ICH. The majority of the patients had Glasgow Coma Scale < 9 and harboring a brain swelling or acute subdural hematoma at cranial computadorized tomography. Hydrocephalus was frequent after DC (28.5%). Good results were obtained in 11 patients (52.5%). We favour the early application of DC for pos traumatic hypertension.
authors.affiliation: Hospital Felicio Rocho , Belo Horizonte, Brazil. rfaleiro@brfree.com.br
authors.forename: Rodrigo Moreira
authors.initials: RM
authors.lastname: Faleiro
authors.forename: Newton José Godoy
authors.initials: NJ
authors.lastname: Pimenta
authors.forename: Luiz Carlos Mendes
authors.initials: LC
authors.lastname: Faleiro
authors.forename: Anderson Finotti
authors.initials: AF
authors.lastname: Cordeiro
authors.forename: Cícero J
authors.initials: CJ
authors.lastname: Maciel
authors.forename: Sebastião N S
authors.initials: SN
authors.lastname: Gusmão
mesh_terms: D000293:Adolescent; D000328:Adult; D001929:Brain Edema / Q000000981:diagnostic imaging / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000150:complications*; D003399:Craniotomy / Q000009:adverse effects / Q000379:methods*; D019299:Decompression, Surgical / Q000009:adverse effects / Q000379:methods*; D005260:Female; D046648:Hematoma, Subdural, Intracranial / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology; D019586:Intracranial Hypertension / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors; D014057:Tomography, X-Ray Computed