Portal de Periódicos da CAPES

Effect of decompressive craniectomy in the postoperative expansion of traumatic intracerebral hemorrhage: a propensity score–based analysis

2019; American Association of Neurological Surgeons; Volume: 132; Issue: 5 Linguagem: Inglês

10.3171/2019.2.jns182025

1933-0693

Santiago Cepeda, Ana M. Castaño‐León, Pablo M. Munárriz, Igor Paredes, Irene Panero, Carla Eiriz, Pedro A. Gómez, Alfonso Lagares,

Neurosurgical Procedures and Complications

Traumatic intracerebral hemorrhage (TICH) represents approximately 13%-48% of the lesions after a traumatic brain injury (TBI), and hemorrhagic progression (HP) occurs in 38%-63% of cases. In previous studies, decompressive craniectomy (DC) has been characterized as a risk factor in the HP of TICH; however, few studies have focused exclusively on this relationship. The object of the present study was to analyze the relationship between DC and the growth of TICH and to reveal any correlation with the size of the craniectomy, degree of cerebral parenchymal herniation (CPH), or volumetric expansion of the TICH.