[Decompressive craniectomy in acute stroke - The different perspective] - Publication

Publication

[Decompressive craniectomy in acute stroke - The different perspective]

Journal Paper/Review - Jan 27, 2012

Gautschi Oliver P, Cadosch Dieter, Stienen Martin N., Steiner Luzius A, Schaller Karl

Citation

Gautschi O, Cadosch D, Stienen M, Steiner L, Schaller K. [Decompressive craniectomy in acute stroke - The different perspective]. Anasthesiol Intensivmed Notfallmed Schmerzther 2012; 47:8-13.

Type

Journal Paper/Review (Deutsch)

Journal

Anasthesiol Intensivmed Notfallmed Schmerzther 2012; 47

Publication Date

Jan 27, 2012

Issn Electronic

1439-1074

Pages

8-13

Brief description/objective

Extensive space occupying strokes occur in about 1-10% of all ischaemic supratentorial infarctions. Both the high mortality and morbidity primarily result from secondary brain damage due to an accompanying brain edema. Therefore, the primary therapeutic target in patients with space occupying strokes is the control of the brain edema and the consecutively elevated intracranial pressure. If intracranial pressure cannot be controlled by conservative treatment methods, a decompressive craniectomy (DC) is a possible treatment option in selected patients to reduce intracranial pressure. In this review recommendations from the surgeon's perspective are given concerning the indication and timing of DC in patients with space occupying supra- and infratentorial cerebral infarctions.