Abstract

SIERRA BENITEZ, Enrique Marcos; LEON PEREZ, Mairianny Quianella  and  MORALES FUENTES, Manuel Alejandro. Controversies of decompressive craniotomy in the treatment of intracranial hypertension. Rev.Med.Electrón. [online]. 2019, vol.41, n.6, pp.1457-1470.  Epub Dec 31, 2019. ISSN 1684-1824.

Intracranial hypertension negatively influences the prognosis of severe craniaencephalic trauma and malignant infarction of the middle cerebral artery. Decompressive craniotomy is a treatment option. The aim of this review is to assess the controversies of decompressive craniotomy in the treatment of intracranial hypertension. For this purpose, an exhaustive review of the literature was carried out, taking into account several multicentric and multinational studies revealing controversial aspects on the use of this neurosurgical procedure as therapy in the management of intracranial hypertension refractory to conservative treatment. It is concluded that decompressive craniotomy is considered beneficial in the malignant infarction of the middle cerebral artery, while in the case of severe craniaencephalic trauma its utility is controversial.

Keywords : decompressive craniotomy; intracranial hypertension; severe craniaencephalic trauma; malignant infarction of the middle cerebral artery.

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