Moreover whether decompressive
craniectomy is needed or not can be determined according to intraoperative intracranial pressure.
hemicraniectomy in patients with malignant middle cerebral artery infarction: A systematic review and meta-analysis.
hemicraniectomy in patients with supratentorial intracerebral hemorrhage.
Although these techniques show promise, they generally require specialised equipment, more technical expertise and tend to be associated with a steep learning curve.2,7,8 Lumbar spinous process-splitting laminectomy (LSPSL), an alternative to conventional laminectomy first described in 2005, 5 is a posterior midline structure-preserving decompressive
technique, with the advantage of a traditional midline approach that neurosurgeons are familiar with.8 It also avoids the need for specialised tubular retractors.
  < 4 hours) cognitive / behavioural   issues Presence of decompressive
  craniectomy surgery Severe headache   Mild headache   Invasively mechanically   ventilated Passive transfer Sitting over to chair via the edge of hoist or patslide the bed Recent confirmation of vasospasm on   radiographic images / Transcranial dopplers Acute clinical signs   of delayed cerebral ischaemia New cerebral infarct   Recent further bleed   Low GCS score without   sedation Heavily sedated   Severe aSAH (e.g.
Treatment of cerebellar infarction by decompressive
Trauma was the most common cause of cranial vault defect (23 out of 30 patients) with 18 decompressive
Demographic characteristics of the cases, measurements of cranioplasty area, and late follow--up durations Number of Surgery type Mean age Cranioplasty cases (years) area ([cm.sup.2]) 48 MPF 39.9 14.3 4 Decompressive
craniectomy 51.7 34.6 Convexity/Calvarial tumor 54.8 24.2 7 Posterior fossa surgery 50.3 8.2 Number of Mean follow--up cases time (months) 48 17.4 4 19.5 20.5 7 15.8 MPF: multi--part fracture Table 2.
When these interventions fail, decompressive
craniectomy can be attempted to relieve intracranial pressure (Stocchetti & Maas, 2014).
craniectomy for traumatic brain injury and importance of intracranial pressure monitoring.
(5.) Sahuquillo J, Arikan F Decompressive
craniectomy for the treatment of refractory high intracranial pressure in traumatic brain injury.