[Augmentation of decompressive craniectomy using COM 30 bandage in the treatment of refractory intracranial hypertension].
Authors present case-report of 29-year old man with acute subdural hematoma and contusions in right basal frontotemporal area. Despite adequate conservative treatment and surgical therapy (hematoma evacuation and decompressive craniectomy) uncontrollable intracranial hypertension occurred 4th postoperative day. Situation has been effectively solved by resection of hemorrhagic temporal muscle together with duroplasty (fascia lata) and skin plastics using combined dressing fabric COM 30. Fabric was removed after eleven days followed skin suturing. Clinical status after four months is favorable, the patient is without neurological deficit. Bone flap return is planned.
Neurochirurgické oddelení Nemocnice Ceské Budejovice. v.priban@centrum.cz
V
V
Pribán
O
O
Teplý
R
R
Cihlár
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging; D001930:Brain Injuries / Q000150:complications; D056424:Decompressive Craniectomy / Q000379:methods; D006801:Humans; D019586:Intracranial Hypertension / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D009779:Occlusive Dressings; D014057:Tomography, X-Ray Computed