DECOMPRESSIVE CRANIECTOMY IN DIFFUSE TRAUMATIC BRAIN INJURY PDF

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PDF | It is unclear whether decompressive craniectomy improves the functional outcome in patients with severe traumatic brain injury and. The Decompressive Craniectomy in Diffuse Traumatic Brain Injury or DECRA trial was the first neurosurgical randomized controlled trail that sought to answer. BACKGROUND It is unclear whether decompressive craniectomy improves the functional outcome in patients with severe traumatic brain injury and refractory.

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Decompressive craniectomy in diffuse traumatic brain injury.

Unavailability of a protective skull leading to reduced resistance and increased hydrostatic pressure may be an important reason for this. Harin Reddy who helped us in collecting and analyzing the data. Therefore, we have to ask ourselves: Medical Microbiology and Virology. Oxford General Practice Library. Comment in N Engl J Med. Initial calcium release from intracellular stores followed by calcium dysregulation is linked to secondary axotomy following transient axonal stretch injury.

PatelPeter W. Second-line therapies are started when these measures fail to control high ICP.

Decompressive craniectomy in diffuse traumatic brain injury.

With increased severity of disease, elderly patients and those on aspirin or other anticoagulants complications of decompressive craniectomy have been found to be increased. Qualified, late specialism training.

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Outcome as per Glasgow outcome score with respect to Glasgow coma scale at the time of admission. Curr Opin Crit Care. Among neurological complications – external cerebral herniation, postsurgical CNS, infection, hydrocephalus, and venous infarction were common. The results of the trial were somewhat unanticipated.

Decompressive craniectomy in diffuse traumatic brain injury. – Semantic Scholar

Detailed Marshall computed tomography classification with number of patients in each type. A preinformed consent in an uniform format was taken from all these patients for being a part of this study and their details to be published. Oxford University Press; Sensory and Motor Systems. A total of 85 patients admitted at Tata Main Hospital, Jamshedpur with severe diffuse TBI with clinical and radiological evidence of intracranial craniecgomy who were refractory to first-tier therapies and required DC were included in our study.

Stephen Honeybul Journal of clinical neuroscience: Saurav Gupta and Dr. Most patients were of type V in 37 Acknowledgment It would be unfair on our parts if we do not acknowledge the names of people who have played an important role in helping us in the mammoth task of preparing traumatci manuscript. Disclaimer Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct.

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Natl Med J India. Complications of decompressive craniectomy for traumatic brain injury. Taking this point into consideration, the role of DC in patient care with TBI has been an upcoming field for researchers also.

Decompressive Craniectomy in Diffuse Traumatic Brain Injury: An Industrial Hospital Study

Therefore, all above differences might be the main reasons of different conclusions in these two studies. StaalTracey C. Other randomized studies have since been on paper, and the result of the DECRA study was released in First, suitable population for DC.

Past experience and current developments Andrew I. Oxford Textbooks in Surgery. Showing of 33 references. Restorative Dentistry and Orthodontics.

Oxford Textbooks in Public Health. Table 9 Decompreswive as per Glasgow outcome score with respect to Glasgow coma scale at the time of admission. Most of the patients were of age group 31—40 years in The other question is what other indicators need established in order to evaluate DC timing. Number of cases with respect to timing of surgery early if done within 24 h and late if done after 24 h.