title: Bi-occipital decompressive craniectomy in refractory post traumatic intracranial hypertension: first report of one case.
abstract: Decompressive craniectomy (DC) is considered a 'second tier' therapy to control posttraumatic intracranial hypertension refractory to maximal medical treatment. The authors present a case of refractory intracranial hypertension due to diffuse brain swelling and a large (>25 ml) non-surgically-treatable haematoma of the splenium of the corpus callosum successfully treated with bi-occipital DC and augmentative duraplasty.
authors.affiliation: Department of Neurosurgery, University of Brescia, Brescia, Italy. roberto.stefini@alice.it
authors.forename: R
authors.initials: R
authors.lastname: Stefini
authors.forename: R
authors.initials: R
authors.lastname: Bergomi
authors.forename: E
authors.initials: E
authors.lastname: Catenacci
authors.forename: C
authors.initials: C
authors.lastname: Cereda
authors.forename: N
authors.initials: N
authors.lastname: Latronico
authors.forename: P
authors.initials: P
authors.lastname: Mortini
mesh_terms: D000328:Adult; D020202:Cerebral Hemorrhage, Traumatic / Q000150:complications; D003337:Corpus Callosum / Q000293:injuries; D003399:Craniotomy / Q000379:methods*; D019299:Decompression, Surgical / Q000379:methods*; D015600:Glasgow Coma Scale; D006801:Humans; D015601:Injury Severity Score; D019586:Intracranial Hypertension / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D009777:Occipital Bone / Q000601:surgery*; D011859:Radiography; D016683:Supine Position; D016896:Treatment Outcome