Decompressive Craniectomy Following Brain Injury: Factors Important to Patient Outcome
Libyan j. med
; 5: 1-6, 2009.
Article
in Portuguese
| AIM
| ID: biblio-1265103
Responsible library:
CG1.1
ABSTRACT
Background:
Decompressive craniectomy (DC) is often performed as an empirical lifesaving measure to protect the injured brain from the damaging effects of propagating oedema and intracranial hypertension. However; there are no clearly defined indications or specified guidelines for patient selection for the procedure.Aims:
To evaluate outcome determinants and factors important in patient selection for the procedure.Methods:
We reviewed the literature on DC; including single case reports and reported case series; to identify factors affecting outcome following the procedure; as well as its pitfalls and associated complications.Results:
Glasgow coma score of 8 and above; age less than 50 years and early intervention were found to be among the most significant determinants of prognosis.Conclusion:
Improving patient selection for DC may be expected to further improve the outcome following the procedure in severely brain-injured patients
Full text:
Available
Index:
AIM (Africa)
Main subject:
Patients
/
Brain Injuries
/
Decompressive Craniectomy
Type of study:
Prognostic study
Limits:
Humans
Language:
Portuguese
Journal:
Libyan j. med
Year:
2009
Type:
Article
Institution/Affiliation country:
Department of Surgery, University of Port Harcourt Teaching Hospital/NG
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