title: Damage control surgery in intracerebral hemorrhage in acute leukemia: a review of two cases.
abstract: BACKGROUND
  Intracerebral hemorrhage is the second most common cause of mortality (after infections) in acute leukemia and is responsible for approximately 20% of deaths due to acute leukemia. Management of intracerebral hemorrhage (ICH) is mostly conservative but there exist certain patients who need emergent surgery due to the poor Glasgow Coma Scale (GCS) despite their coagulopathic state.
  
  
  METHODS
  We present here two such cases which were successfully managed with decompressive craniectomy which was done as a damage control surgery thus stating the importance of surgical intervention in the management of acutely deteriorating patients rather than the commonly employed conservative management due to their coagulopathic state.
authors.affiliation: Department of Neurosurgery, All India Institute of Medical Sciences, R No- 720, 7th Floor, CN Center, AIIMS, New Delhi, India.
authors.forename: Jaskaran
authors.initials: J
authors.lastname: Singh
authors.affiliation: Department of Neurosurgery, All India Institute of Medical Sciences, R No- 720, 7th Floor, CN Center, AIIMS, New Delhi, India. gargneuro@hotmail.com.
authors.forename: Kanwaljeet
authors.initials: K
authors.lastname: Garg
authors.affiliation: Department of Neurosurgery, All India Institute of Medical Sciences, R No- 720, 7th Floor, CN Center, AIIMS, New Delhi, India.
authors.forename: Rajeev
authors.initials: R
authors.lastname: Sharma
authors.affiliation: Department of Neurosurgery, All India Institute of Medical Sciences, R No- 720, 7th Floor, CN Center, AIIMS, New Delhi, India.
authors.forename: Sumit
authors.initials: S
authors.lastname: Sinha
authors.affiliation: Department of Neurosurgery, All India Institute of Medical Sciences, R No- 720, 7th Floor, CN Center, AIIMS, New Delhi, India.
authors.forename: Shashank Sharad
authors.initials: SS
authors.lastname: Kale
mesh_terms: D000293:Adolescent; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000601:surgery*; D002648:Child; D056424:Decompressive Craniectomy / Q000379:methods*; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D007938:Leukemia / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D016896:Treatment Outcome
keywords: Acute leukemia; Decompressive craniectomy; Intracerebral hemorrhage