Hinge craniotomy as an alternative technique for patients with refractory intracranial hypertension.
Decompressive craniectomy
Hinge craniotomy
ICP
Refractory intracranial hypertension
TBI
Journal
Brain & spine
ISSN: 2772-5294
Titre abrégé: Brain Spine
Pays: Netherlands
ID NLM: 9918470888906676
Informations de publication
Date de publication:
2023
2023
Historique:
received:
26
01
2023
revised:
04
05
2023
accepted:
10
05
2023
medline:
29
6
2023
pubmed:
29
6
2023
entrez:
29
6
2023
Statut:
epublish
Résumé
Decompressive craniectomy (DC) can save brain tissue, but unfortunately it has many limitations and complications. Hinge craniotomy (HC), as less aggressive method seems to be adequate alternative not only to DC but also to conservative treatment. Presentation of the results of modified surgical techniques of cranial decompression and comparing with more and less aggressive medical options. A prospective clinical study was conducted during 86 months. Comatose patients who suffered refractory intracranial hypertension (RIH) were treated. Altogether, 137 patients have been evaluated. The final outcome of all patients in the study was evaluated after 6 months. Both surgical options resulted in adequate control of intracranial pressure (ICP). HC method was shown to have the lowest probability of worsening from a prior state of relative stability. There was no statistically significant difference between methods to treatment of DC or HC, meaning the final outcome of patients treated in any manner. There was similar rate of early and late complications.
Identifiants
pubmed: 37383443
doi: 10.1016/j.bas.2023.101758
pii: S2772-5294(23)00046-2
pmc: PMC10293230
doi:
Types de publication
Journal Article
Langues
eng
Pagination
101758Informations de copyright
© 2023 The Authors.
Déclaration de conflit d'intérêts
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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