Decompressive Craniectomy for Traumatic Acute Extradural Haematoma: Decision Making and Outcomes

被引:2
|
作者
Korde, Paresh Anil [1 ]
Iratwar, Sandeep W. [1 ]
Patil, Akshay [1 ]
Mundhe, Vijay M. [1 ]
Rathod, Chetan Tukaram [1 ]
机构
[1] JNMC, AVBRH, Dept Neurosurg, Wardha 442001, Maharashtra, India
关键词
Neurosurgery; Non-pulsatile dura; Shock; Swril sign; SWIRL SIGN; INFARCTION; SECONDARY;
D O I
10.7860/JCDR/2020/43142.13462
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Extradural Haematoma (EDH) in neurosurgery needs no introduction. It is the most commonly encountered and dealt traumatic pathology in neurosurgery. Operative indications for the same has been in the literature and followed unchecked. Evacuating haematoma and repositioning the bone flap back has been a usual protocol. But decision for Decompressive Craniectomy (DC) in EDH and their outcomes have less vividly thought of. In the present case series the authors shared their experience of 10 patients, of traumatic EDH, who presented with Glasgow Coma Scale (GCS) of <5 and underwent DC with haematoma evacuation in first sitting itself. Based on the experience it is proposed that DC in traumatic EDH patients bring about better outcome in these patients.
引用
收藏
页码:PR1 / PR3
页数:3
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