Decompressive craniectomy: technical note
Quinn TM, Taylor JJ, Magarik JA, Vought E, Kindy MS, Ellegala DB. Decompressive craniectomy: technical note. Acta Neurol Scand: 2011: 123: 239–244.© 2010 John Wiley & Sons A/S. Decompressive craniectomy is a neurosurgical technique in which a portion of the skull is removed to reduce intracrania...
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| Veröffentlicht in: | Acta neurologica Scandinavica 2011-04, Vol.123 (4), p.239-244 |
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| container_title | Acta neurologica Scandinavica |
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| creator | Quinn, T. M. Taylor, J. J. Magarik, J. A. Vought, E. Kindy, M. S. Ellegala, D. B. |
| description | Quinn TM, Taylor JJ, Magarik JA, Vought E, Kindy MS, Ellegala DB. Decompressive craniectomy: technical note. Acta Neurol Scand: 2011: 123: 239–244.© 2010 John Wiley & Sons A/S.
Decompressive craniectomy is a neurosurgical technique in which a portion of the skull is removed to reduce intracranial pressure. The rationale for this procedure is based on the Monro‐Kellie Doctrine; expanding the physical space confining edematous brain tissue after traumatic brain injury will reduce intracranial pressure. There is significant debate over the efficacy of decompressive craniectomy despite its sound rationale and historical significance. Considerable variation in the employment of decompressive craniectomy, particularly for secondary brain injury, explains the inconsistent results and mixed opinions of this potentially valuable technique. One way to address these concerns is to establish a consistent methodology for performing decompressive craniectomies. The purpose of this paper is to begin accomplishing this goal and to emphasize the critical points of the hemicraniectomy and bicoronal (Kjellberg type) craniectomy. |
| doi_str_mv | 10.1111/j.1600-0404.2010.01397.x |
| format | Article |
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Decompressive craniectomy is a neurosurgical technique in which a portion of the skull is removed to reduce intracranial pressure. The rationale for this procedure is based on the Monro‐Kellie Doctrine; expanding the physical space confining edematous brain tissue after traumatic brain injury will reduce intracranial pressure. There is significant debate over the efficacy of decompressive craniectomy despite its sound rationale and historical significance. Considerable variation in the employment of decompressive craniectomy, particularly for secondary brain injury, explains the inconsistent results and mixed opinions of this potentially valuable technique. One way to address these concerns is to establish a consistent methodology for performing decompressive craniectomies. The purpose of this paper is to begin accomplishing this goal and to emphasize the critical points of the hemicraniectomy and bicoronal (Kjellberg type) craniectomy.</description><subject>Biological and medical sciences</subject><subject>Brain Injuries - surgery</subject><subject>cerebral edema</subject><subject>decompressive craniectomy</subject><subject>Decompressive Craniectomy - methods</subject><subject>Humans</subject><subject>intracranial pressure</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Neurosurgery</subject><subject>patient management</subject><subject>Pressure</subject><subject>Skull</subject><subject>Sound</subject><subject>Traumatic brain injury</subject><issn>0001-6314</issn><issn>1600-0404</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV1PwjAUhhujEfz4C4YbY7zYPF2_VhMvCCIaCcYE42XTdV0cbgzXofDv7QTx0t60p-d5T9P3RaiHIcR-Xc1CzAECoEDDCPwtYCJFuNpD3V1jH3UBAAecYNpBR87NfBUJSg9RJwJOhNd10eWtNVW5qK1z-aftmVrPc2uaqlxf9xpr3ua50UVvXjX2BB1kunD2dLsfo5e74XRwH4yfRg-D_jgwlEsR2ChJmY5pFhOhubCZTiFl3Mg4oxHQjKQ8ybAQiQYhJKSckUQakUBimGUsIcfoYjN3UVcfS-saVebO2KLQc1stnYqFpCICiP8nGfMvSkw8ebYll0lpU7Wo81LXa_XrgwfOt4B2_sOZt8Hk7o8jEuI4bgfdbLivvLDrXR-DanNRM9Xar1r7VZuL-slFrVR_MmxPXh9s9Llr7Gqn1_W74oIIpl4nI8Ue5XjKn7nC5BuyMo1s</recordid><startdate>201104</startdate><enddate>201104</enddate><creator>Quinn, T. 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A.</creatorcontrib><creatorcontrib>Vought, E.</creatorcontrib><creatorcontrib>Kindy, M. S.</creatorcontrib><creatorcontrib>Ellegala, D. B.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Acta neurologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Quinn, T. M.</au><au>Taylor, J. J.</au><au>Magarik, J. A.</au><au>Vought, E.</au><au>Kindy, M. S.</au><au>Ellegala, D. 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Decompressive craniectomy is a neurosurgical technique in which a portion of the skull is removed to reduce intracranial pressure. The rationale for this procedure is based on the Monro‐Kellie Doctrine; expanding the physical space confining edematous brain tissue after traumatic brain injury will reduce intracranial pressure. There is significant debate over the efficacy of decompressive craniectomy despite its sound rationale and historical significance. Considerable variation in the employment of decompressive craniectomy, particularly for secondary brain injury, explains the inconsistent results and mixed opinions of this potentially valuable technique. One way to address these concerns is to establish a consistent methodology for performing decompressive craniectomies. The purpose of this paper is to begin accomplishing this goal and to emphasize the critical points of the hemicraniectomy and bicoronal (Kjellberg type) craniectomy.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20637010</pmid><doi>10.1111/j.1600-0404.2010.01397.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Biological and medical sciences Brain Injuries - surgery cerebral edema decompressive craniectomy Decompressive Craniectomy - methods Humans intracranial pressure Medical sciences Neurology Neurosurgery patient management Pressure Skull Sound Traumatic brain injury |
| title | Decompressive craniectomy: technical note |
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