Role of Decompressive Surgery in the Management of Severe Head Injuries: Prognostic Factors and Patient Selection

• DOI: 10.1089/neu.2005.22.1311
• Publication Date: 2005-11-23T16:31:51Z
• Authors: Tanju Ucar; Mahmut Akyuz; Saim Kazan; Recai Tuncer
• Keywords: Decompressive craniectomy; Glasgow Outcome Scale; Coma (optics); Intracranial pressure monitoring; Conservative Management

Decompress(ve surgery or craniectomy (DC) is a treatment option, which should be considered when the intracranial pressure (ICP) cannot treated by conservative methods. The purpose of this study was to evaluate benefits decompressive in patients with intractable posttraumatic hypertension and patient selection criteria for management protocol. In study, 100 severe head injuries were involved. All according European Brain Injury Consortium (EBIC) guidelines assessed based on individual initial Glasgow Coma Scores (GCS), age, Outcome Score (GOS), presence systemic injury, changes ICP, mass lesion right timing DC. presented GCS 8 below. Based their GCS, divided two groups 60 (group I 4–5) 40 II 6–8) each, respectively. Prognosis evaluated (GOS). After DC, 84 (84%) showed unfavorable 16 (16%) favorable outcomes. group I, 58 (96.6%) (3.4%) II, 26 (65%) 14 (25%) importance age outcomes statistically significant. lesions not our findings, we conclude that 6–8 are best candidates DC treatment.