How I do it: supra-tentorial unilateral decompressive craniectomy

  • Nicolas DesseEmail author
  • Nathan Beucler
  • Arnaud Dagain
How I Do it - Neurosurgery general
Part of the following topical collections:
  1. Neurosurgery general



Decompressive craniectomy is a surgical way to treat intracranial hypertension, by removing a large flap of skull bone.


We report the case of a 48 years old right-handed man presenting an acute ischaemic stroke of all the right sylvian artery area, with rapid clinic deterioration then coma. Severe intracranial hypertension was confirmed by transcranial Doppler. In emergency, we decided to perform a right-side decompressive craniectomy.


Six months later, he is in rehabilitation with “only” a left hemiplegia and a very good relational life. His modified Rankin score is 3. Decompressive craniectomy saved this patient’s life, that is why we think this surgical technique must be explained and mastered.


Decompressive craniectomy Intracranial hypertension Surgical technique 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

701_2019_3880_MOESM1_ESM.ppsx (257.5 mb)
Video 1 Decompressive craniectomy of a 48 years old man presenting a right malignant ischaemic stroke. (PPSX 263718 kb)


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Service de NeurochirurgieHôpital d’Instruction des Armées Sainte AnneToulon Cedex 9France

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