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Decompressive Craniectomy in Diffuse Traumatic Brain Injury
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Decompressive Craniectomy in Diffuse Traumatic Brain Injury
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Decompressive Craniectomy in Diffuse Traumatic Brain Injury
Decompressive Craniectomy in Diffuse Traumatic Brain Injury
Journal Article

Decompressive Craniectomy in Diffuse Traumatic Brain Injury

2011
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Overview
Patients with severe traumatic brain injury and refractory intracranial hypertension were randomly assigned to either decompressive craniectomy or standard care. Craniectomy was associated with a significant reduction in intracranial pressure but worse outcomes. Among patients who are hospitalized with severe traumatic brain injury, 60% either die or survive with severe disability. 1 – 3 Of Australia's population of 22 million, 4 approximately 1000 patients annually sustain a severe traumatic brain injury, with associated lifetime costs estimated at $1 billion. 5 In the United States, the annual burden of traumatic brain injury is more than $60 billion. 6 After severe traumatic brain injury, medical and surgical therapies are performed to minimize secondary brain injury. 7 – 9 Increased intracranial pressure, which is typically caused by cerebral edema, is an important secondary insult. 7 , 9 , 10 Although few data regarding the monitoring of . . .