Skip to main content
SpringerLink
Log in

Decompressive Craniectomy, ICP and Brain Edema

  • Conference paper
Intracranial Pressure IV

Abstract

Decompressive craniotomy has been advocated as a method of treatment for the massive edema often associated with severe head injury (6). Removal of bone over large areas of the calvarium converts a “closed box” with a finite volume into an open one. ICP is controlled and cerebral perfusion pressure is maintained at adequate levels to prevent ischemic injury. Edematous brain may herniate through the craniotomy opening rather than through the tentorial incisura and brain stem compression may be avoided.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Becker DP, Miller JD, Ward JD, Greenberg RP, Young HF, Sakalas R (1977) The outcome from severe head injury with early diagnosis and intensive management. J Neurosurg 47:491–502

    Article  PubMed  CAS  Google Scholar 

  2. Britt RH, Hamilton RD (1978) Large decompressive craniotomy in the treatment of acute subdural hematoma. Neurosurg 2:195–200

    Article  CAS  Google Scholar 

  3. Fell DA, Fitzgerald S, Moiel RH, Caram P (1975) Acute subdural hematomas: review of 144 cases. J Neurosurg 42:37–42

    Article  PubMed  CAS  Google Scholar 

  4. Hase V, Reulen HJ, Meinig G, Schurmann K (1978) The influence of the decompressive operation on the intracranial pressure and the pressure-volume relation in patients with severe head injuries. Acta Neurochir 45:1–13

    Article  CAS  Google Scholar 

  5. Moody RA, Ruamsuke S, Mullan SF. An evaluation of decompression in experimental head injury. J Neurosurg 29:586–590

    Google Scholar 

  6. Ransohoff J, Benjamin MV, Gage, EL Jr, Epstein F (1971) Hemicraniectomy in the management of acute subdural hematoma. J Neurosurg 34:70–67

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. P. R. Cooper
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H. Hagler
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. W. Clark
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Leo M. Davidoff Department of Neurological Surgery, Albert Einstein, College of Medicine, Yeshiva University, 1300 Morris Park Avenue, Bronx, NY, 10461, USA

    Kenneth Shulman M.D.  & Anthony Marmarou Ph.D.  & 

  2. Medical College of Virginia, Division of Neurological Surgery, Virginia Commonwealth University, 1200 East Broad Street, Richmond, VA, 23298, USA

    J. Douglas Miller M.D., Ph.D., FRCS  & Donald P. Becker M.D.  & 

  3. Department of Neurology, New York University Medical Center, 550 First Avenue, New York, NY, 10016, USA

    Gerald M. Hochwald M.D.

  4. Universitätsklinikum Steglitz, Neurochirurgische Klinik und Poliklinik, Freie Universität Berlin, Hindenburgdamm 30, D-1000, Berlin 45, Germany

    Mario Brock

Rights and permissions

Reprints and permissions

Copyright information

© 1980 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Cooper, P.R., Hagler, H., Clark, W. (1980). Decompressive Craniectomy, ICP and Brain Edema. In: Shulman, K., Marmarou, A., Miller, J.D., Becker, D.P., Hochwald, G.M., Brock, M. (eds) Intracranial Pressure IV. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67543-0_61

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-67543-0_61

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-67545-4

  • Online ISBN: 978-3-642-67543-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation