Journal Home > Volume 2 , Issue 1
Brain Science Advances 2016, 2(1): 59-64 https://doi.org/10.18679/CN11-6030_R.2016.008
Review Article | Open Access | Issue | Published: 01 March 2016

Surgical complications secondary to decompressive craniectomy for patients with severe head trauma

Show Author's Information Xiaofeng Yang( ),  Liang Wen
Department of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Zhejiang, China
Keywords:
traumatic brain injury, decompressive craniectomy, surgical complications
Cite this article:
Yang X, Wen L. Surgical complications secondary to decompressive craniectomy for patients with severe head trauma. Brain Science Advances, 2016, 2(1): 59-64. https://doi.org/10.18679/CN11-6030_R.2016.008
Download citation
EndNote(RIS)
BibTeX

263

Views

10

Downloads

Citations

0

Crossref

N/A

WoS

N/A

Scopus

N/A

CSCD

Abstract Full text About this article

Decompressive craniectomy (DC) is a surgical method for managing highly elevated intracranial increased pressure (ICP) resulted from severe head trauma. This procedure is able to reduce the ICP rapidly and effectively. However, it may lead to kinds of secondary complications, which would cause patient’s severe neurological dysfunction or even death. In this paper, we reviewed the literatures about surgical complications secondary to DC, and tried to bring up suggestions on surgical techniques aiming to prevention and treatment of these complications.


menu
Abstract
Full text
Outline
About this article

Surgical complications secondary to decompressive craniectomy for patients with severe head trauma

Show Author's information Xiaofeng Yang( ), Liang Wen
Department of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Zhejiang, China

Abstract

Decompressive craniectomy (DC) is a surgical method for managing highly elevated intracranial increased pressure (ICP) resulted from severe head trauma. This procedure is able to reduce the ICP rapidly and effectively. However, it may lead to kinds of secondary complications, which would cause patient’s severe neurological dysfunction or even death. In this paper, we reviewed the literatures about surgical complications secondary to DC, and tried to bring up suggestions on surgical techniques aiming to prevention and treatment of these complications.

Keywords: traumatic brain injury, decompressive craniectomy, surgical complications

References(21)

[1]
Jiang JY, Xu W, Li WP, Xu WH, Zhang J, Bao YH, Ying YH, Luo QZ. Efficacy of standard trauma craniectomy for refractory intracranial hypertension with severe traumatic brain injury: A multicenter, prospective, randomized controlled study. J Neurotrauma 2005, 22: 623–628.
DOI Google Scholar
[2]
Yang XF, Wen L, Shen F, Li G, Lou R, Liu WG, Zhan RY. Surgical complications secondary to decompressive craniectomy in patients with a head injury: A series of 108 consecutive cases. Acta Neurochir (Wien) 2008, 150(12): 1241–1248.
DOI Google Scholar
[3]
Stiver SI. Complications of decompressive craniectomy for traumatic brain injury. Neurosurg Focus 2009, 26(6): E7.
DOI Google Scholar
[4]
Huang X, Wen L. Technical considerations in decompressive craniectomy in the treatment of traumatic brain injury. Int J Med Sci 2010, 7(6): 385–390.
DOI Google Scholar
[5]
Aarabi B, Hesdorffer DC, Ahn ES, Aresco C, Scalea TM, Eisenberg HM. Outcome following decompressive craniectomy for malignant swelling due to severe head injury. J Neurosurg 2006, 104(4): 469–479.
DOI Google Scholar
[6]
Guerra WKW, Gaab MR, Dietz H, Mueller JU, Piek J, Fritsch MJ. Surgical decompression for traumatic brain swelling: Indications and results. J Neurosurg 1999, 90(2): 187–196.
DOI Google Scholar
[7]
Münch E, Horn P, Schürer L, Piepgras A, Paul T, Schmiedek P. Management of severe traumatic brain injury by decompressive craniectomy. Neurosurgery 2000, 47(2): 315–322.
DOI Google Scholar
[8]
Csókay A, Nagy L, Novoth B. Avoidance of vascular compression in decompressive surgery for brain edema caused by trauma and tumor ablation. Neurosurg Rev 2001, 24(4–6): 209–213.
DOI Google Scholar
[9]
Csókay A, Együd L, Nagy L, Pataki G. Vascular tunnel creation to improve the efficacy of decompressive craniotomy in post-traumatic cerebral edema and ischemic stroke. Surg Neuro 2002, 57(2): 126–129.
DOI Google Scholar
[10]
Seifman MA, Lewis PM, Rosenfeld JV, Hwang PYK. Postoperative intracranial haemorrhage: A review. Neurosurg Rev 2011, 34(4): 393–407.
DOI Google Scholar
[11]
Bullock R, Hanemann CO, Murray L, Teasdale GM. Recurrent hematomas following craniotomy for traumatic intracranial mass. J Neurosurg 1990, 72(1): 9–14.
DOI Google Scholar
[12]
Wen L, Li QC, Wang SC, Lin Y, Li G, Gong JB, Wang F, Su L, Zhan RY, Yang XF. Contralateral haematoma secondary to decompressive craniectomy performed for severe head trauma: A descriptive study of 15 cases. Brain Inj 2013, 27(3): 286–292.
DOI Google Scholar
[13]
Harhangi BS, Kompanje EJ, Leebeek FWG, Maas AIR. Coagulation disorders after traumatic brain injury. Acta Neurochir (Wien) 2008, 150(2): 165–175.
DOI Google Scholar
[14]
Taylor WAS, Thomas NWM, Wellings JA, Bell BA. Timing of postoperative intracranial hematoma development and implications for the best use of neurosurgical intensive care. J Neurosurg 1995, 82(1): 48–50.
DOI Google Scholar
[15]
Yang XF, Wen L, Li G, Zhan RY, Ma L, Liu WG. Contralateral subdural effusion secondary to decompressive craniectomy performed in patients with severe traumatic brain injury: Incidence, clinical presentations, treatment and outcome. Med Princ Pract 2009, 18(1): 16–20.
DOI Google Scholar
[16]
Miki T, Nakajima N, Wada J, Haraoka J. Cause of post-traumatic hydrocephalus because of traumatic aqueduct obstruction in two cases. J Trauma 2006, 61(4): 985–989.
DOI Google Scholar
[17]
Choi I, Park HK, Chang JC, Cho SJ, Choi SK, Byun BJ. Clinical factors for the development of posttraumatic hydrocephalus after decompressive craniectomy. J Korean Neurosurg Soc 2008, 43(5): 227–231.
DOI Google Scholar
[18]
Wen L, Wan S, Zhan RY, Li G, Gong JB, Liu WG, Yang XF. Shunt implantation in a special sub-group of post-traumatic hydrocephalus--patients have normal intracranial pressure without clinical representations of hydrocephalus. Brain Inj 2009, 23(1): 61–64.
DOI Google Scholar
[19]
Isago T, Nozaki M, Kikuchi Y, Honda T, Nakazawa H. Sinking skin flap syndrome: A case of improved cerebral blood flow after cranioplasty. Ann Plast Surg 2004, 53(3): 288–292.
DOI Google Scholar
[20]
Wen L, Yang XF, Liu WG, Shen G, Zheng XS, Cao F, Li G. Cranioplasty of large cranial defect at an early stage after decompressive craniectomy performed for severe head trauma. J Craniofac Surg 2007, 18(3): 526–32.
DOI Google Scholar
[21]
Wen L, Lou HY, Xu J, Wang H, Huang X, Gong JB, Xiong B, Yang XF. The impact of cranioplasty on cerebral blood perfusion in patients treated with decompressive craniectomy for severe traumatic brain injury. Brain Inj 2015, 29(13–14): 1654–1660.
DOI Google Scholar
Publication history
Copyright
Rights and permissions

Publication history

Received: 08 January 2016
Revised: 26 February 2016
Accepted: 29 February 2016
Published: 01 March 2016
Issue date: March 2016

Copyright

© The authors 2016.

Rights and permissions

This article is published with open access at www.TNCjournal.com

Return