NDLI: Gradual and Controlled Decompression for Brain Swelling Due to Severe Head Injury

Content Provider	Springer Nature Link
Author	Jiang, Yun Zhao Lan, Qing Wang, Qi Hong Song, Dong Lei Lu, Hua Wu, Wei Jiang
Copyright Year	2014
Abstract	Patients suffering from uncontrollable intracranial hypertension due to posttraumatic brain swelling (BS) generally either die or survive in an extremely disabled state. Decompressive craniectomy (DC) with dural augmentation may be the best method to assist these patients. However, the efficacy of DC on functional outcomes remains controversial. One of the factors contributing to poor outcomes could be intraoperative brain extrusion, which is an acute potential complication of DC. The authors have adopted a new surgical technique for traumatic BS that can prevent and control massive intraoperative BS (IOS). In the past 3 years, the authors have used a unique technique, called “gradual and controlled decompression”, in the treatment of posttraumatic BS. This procedure consists of creating numerous small dural openings and removing clots; enlarging fenestration in the frontal and temporal basal regions to detect and treat brain contusion; making U-shaped, discontinuous, small dural incisions around the circumference of the craniotomy; and performing an augmentation duraplasty through the discontinuous small opening with dural prosthetic substances. This technique has been employed in 23 patients suffering from posttraumatic BS. In all cases, IOS was prevented and controlled through gradual stepwise decompression, and expanded duraplasty was performed successfully. This new surgical approach for posttraumatic BS can prevent severe extrusion of the brain through the craniotomy defect and allows the gradual and gentle release of the subdural space. Further clinical studies should be conducted to estimate the impact of this new technique on morbidity and mortality rates.
Starting Page	461
Ending Page	466
Page Count	6
File Format	PDF
ISSN	10859195
Journal	Cell Biochemistry and Biophysics
Volume Number	69
Issue Number	3
e-ISSN	15590283
Language	English
Publisher	Springer US
Publisher Date	2014-01-18
Publisher Place	Boston
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Decompressive craniectomy Intraoperative brain swelling Duraplasty Biochemistry Pharmacology/Toxicology Biotechnology Cell Biology Biophysics and Biological Physics
Content Type	Text
Resource Type	Article
Subject	Cell Biology Medicine Biochemistry Biophysics

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Ulinastatin Attenuates Brain Edema After Traumatic Brain Injury in Rats

The History of Decompressive Craniectomy in Traumatic Brain Injury

Rapidly Raise Blood Sugar Will Aggravate Brain Damage After Severe Hypoglycemia in Rats

Decompressive craniectomy for severe traumatic brain injury patients with fixed dilated pupils

Evaluation of decompressive craniectomy in mice after severe traumatic brain injury

Absorbable Artificial Dura Versus Nonabsorbable Artificial Dura in Decompressive Craniectomy for Severe Traumatic Brain Injury: A Retrospective Cohort Study in Two Centers

Clinical Analysis of Brain Trauma-Associated SIADH

Transcranial doppler sonography in two patients who underwent decompressive craniectomy for traumatic brain swelling: report of two cases

Modelling of Brain Deformation After Decompressive Craniectomy

Gradual and Controlled Decompression for Brain Swelling Due to Severe Head Injury

Similar Documents

Ulinastatin Attenuates Brain Edema After Traumatic Brain Injury in Rats

The History of Decompressive Craniectomy in Traumatic Brain Injury

Rapidly Raise Blood Sugar Will Aggravate Brain Damage After Severe Hypoglycemia in Rats

Decompressive craniectomy for severe traumatic brain injury patients with fixed dilated pupils

Evaluation of decompressive craniectomy in mice after severe traumatic brain injury

Absorbable Artificial Dura Versus Nonabsorbable Artificial Dura in Decompressive Craniectomy for Severe Traumatic Brain Injury: A Retrospective Cohort Study in Two Centers

Clinical Analysis of Brain Trauma-Associated SIADH

Transcranial doppler sonography in two patients who underwent decompressive craniectomy for traumatic brain swelling: report of two cases

Modelling of Brain Deformation After Decompressive Craniectomy

Gradual and Controlled Decompression for Brain Swelling Due to Severe Head Injury