Neurosurgical procedure involving the opening of the skull as a means of decreasing intracranial pressure (ICP) and/or for purposes of removal of a mass lesion.
Craniotomy as a treatment for increased ICP from a mass lesion has its foundation early in the history of neurosurgery. Decompressive craniotomy (DC) initially was introduced to lower the intracranial pressure (ICP) in patients with inoperable tumors and in managing uncontrolled ICP after traumatic brain injury (Brit and Hamilton 1978). DC has been recommended as an alternative treatment for space occupying acute hemispheric infarction with or without massive medically uncontrolled brain edema (Schwab 1998). A scientific statement addressing the early approach to a patient with a swollen ischemic stroke in a cerebral or cerebellar hemisphere has been produced (Wijdicks et al. 2014). During the acute period following cerebral infarction, neurologic decline is often...
References and Readings
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- Wijdicks, E. F., Sheth, K. N., Carter, B. S., et al. (2014). Recommendations for the management of cerebral and cerebellar infarction with selling: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 45(4), 1222–1238.PubMedCrossRefGoogle Scholar