• Neurosurg. Clin. N. Am. · Jul 2013

    Review

    Surgical treatment of elevated intracranial pressure: decompressive craniectomy and intracranial pressure monitoring.

    • Tarek Y El Ahmadieh, Joseph G Adel, Najib E El Tecle, Marc R Daou, Salah G Aoun, Allan D Nanney, and Bernard R Bendok.
    • Department of Neurological Surgery, McGaw Medical Center, Northwestern University Feinberg School of Medicine, 676 North Saint Clair Street, Suite 2210, Chicago, IL 60611, USA.
    • Neurosurg. Clin. N. Am. 2013 Jul 1;24(3):375-91.

    AbstractSurgical techniques that address elevated intracranial pressure include (1) intraventricular catheter insertion and cerebrospinal fluid drainage, (2) removal of an intracranial space-occupying lesion, and (3) decompressive craniectomy. This review discusses the role of surgery in the management of elevated intracranial pressure, with special focus on intraventricular catheter placement and decompressive craniectomy. The techniques and potential complications of each procedure are described, and the existing evidence regarding the impact of these procedures on patient outcome is reviewed. Surgical management of mass lesions and ischemic or hemorrhagic stroke occurring in the posterior fossa is not discussed herein.Copyright © 2013 Elsevier Inc. All rights reserved.

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