Title: Decompressive Craniectomy in a case of Severe Traumatic Brain Injury: To do or not to do- Two Case Reports

Author: Dr (Col) Gurmeet Singh Sarla

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i5.18

Abstract

Decompressive craniectomy as a surgical procedure to relieve raised hypertension has been performed in the early 20th century. However even after a century and despite numerous studies in this regard, the decision to conduct decompressive craniectomy still remains a dilemma. In our case report we discuss two cases of traumatic brain injury where the surgical team was faced with the challenge of performing the surgery in a peripheral hospital with a favorable post-operative outcome.

References

  1. Williams R F, Magnotti LJ et al , Impact of Decompressive Craniectomy on Functional Outcome After Severe Traumatic Brain Injury. J Trauma 2009;66:1570-1576
  2. Sahuquillo J, Martinez-Ricarte F, Poca M A. Decompressive Craniectomy In Traumatic Brain Injury After DECRA Trial. Where Do We Stand. Curr Opin Crit Care 2013;19:101-106
  3. Grindlinger G A, Scavdahl DH, Ecker RD, Sanvorn MR. Decompressive Craniectomy For Severe Traumatic Brain Injury: Clinical study, literature review and metaanalysis. SpringerPlus 2016;5:1605
  4. Howard JL, Cipolle MD et al. J Trauma. 2008;65:380-386
  5. Carney N, Totten AM et al. Guidelines for The Management of Severe Traumatic Brain Injury, Fourth Edition.2016: 1-10.

Corresponding Author

Dr (Col) Gurmeet Singh Sarla

Classified Specialist Surgery, Military hospital Devlali,

Devlali Cantt, Nasik, Maharashtra, Pin 422401

Phone 9882562223