Decompressive Craniectomy for Severe Traumatic Brain Injury: A Systematic Review

Publication Date

2016

Journal Title

World Neurosurg

Abstract

OBJECTIVE: Systematic review of the literature to evaluate the role of decompressive craniectomy (DC) after severe traumatic brain injury (TBI), comparing the first major randomized clinical trial on this topic (DECRA) with subsequent literature. METHODS: A systematic literature search was performed from 2011 to 2015. Citations were selected using the following inclusion criteria: closed severe TBI and DC. Exclusion criteria included most patients5. CONCLUSIONS: Our study underscores the importance of continued international prospective data collection for assessing types of surgical interventions in addition to DC and their timing in patients who have severe TBI. In addition, in geographic areas with limited access to advanced medical treatment for severe TBI, DC is of benefit when performed5.

Volume Number

88

Pages

411-20

Document Type

Article

EPub Date

2016/01/07

Status

Faculty, Northwell Researcher

Facility

School of Medicine; Northwell Health

Primary Department

Neurosurgery

PMID

26732949

DOI

10.1016/j.wneu.2015.12.044

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