Bi-occipital decompressive craniectomy in refractory post traumatic intracranial hypertension: first report of one case.
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.
Stefini
R
R
Department of Neurosurgery, University of Brescia, Brescia, Italy. roberto.stefini@alice.it
Bergomi
R
R
Catenacci
E
E
Cereda
C
C
Latronico
N
N
Mortini
P
P
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