• Acta Neurochir. Suppl. · Jan 2012

    Late decompressive craniectomy as rescue treatment for refractory high intracranial pressure in children and adults.

    • Catrien van der Meer, Erik van Lindert, and Ronald Petru.
    • Department of Anesthesiology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. c.vandermeer@anes.umcn.nl
    • Acta Neurochir. Suppl. 2012 Jan 1;114:305-10.

    AbstractThe purpose of this study was to determine the prognosis of children and adults in whom decompressive craniectomy (DC) was used as a rescue treatment to lower refractory high intracranial pressures if maximal conservative therapies failed.Data of DC patients were retrospectively reviewed. Three-month and 1-year outcomes were evaluated (modified Rankin Score). Twenty-one patients were studied, 8 children and 13 adults. Eleven suffered from traumatic brain swelling, in 10 the primary pathological condition was intracranial hemorrhage, arteriovenous malformation bleeding or subarachnoid hemorrhage. All 13 survivors (62%) had a favorable outcome after 1 year (mRS≤3), 8 (38%) lacked any disabilities at all. Therefore, decompressive craniectomy offers a chance for a favorable outcome in uncontrollable ICP.

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