Clinical Significance of Decompressive Craniectomy Surface Area and Side

Decompressive craniectomy (DC) can partially remove the unyielding skull vault and make affordable space for the expansion of swelling brain contents. The objective of this study was to compare clinical outcome according to DC surface area (DC area) and side. A total of 324 patients underwent differ...

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Bibliographic Details
Published in:Journal of Korean Neurosurgical Society 2021, 64(2), , pp.261-270
Main Authors: Jo, KwangWook, Joo, Won Il, Yoo, Do Sung, Park, Hae-Kwan
Format: Article
Language:English
Subjects:
Clinical
신경외과학
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Summary:Decompressive craniectomy (DC) can partially remove the unyielding skull vault and make affordable space for the expansion of swelling brain contents. The objective of this study was to compare clinical outcome according to DC surface area (DC area) and side. A total of 324 patients underwent different surgical methods (unilateral DC, 212 cases and bilateral DC, 112 cases) were included in this retrospective analysis. Their mean age was 53.4±16.6 years (median, 54 years). Neurological outcome (Glasgow outcome scale), ventricular intracranial pressure (ICP), and midline shift change (preoperative minus postoperative) were compared according to surgical methods and total DC area, DC surface removal rate (DC%) and side. DC surgery was effective for ICP decrease (32.3±16.7 mmHg vs. 19.2±13.4 mmHg, p
ISSN:2005-3711
1598-7876
DOI:10.3340/jkns.2020.0149