Decompressive craniectomy versus craniotomy for traumatic acute subdural hematoma - 14/09/23
Doi : 10.1016/j.neuchi.2023.101490
Highlights |
• | Hutchinson trial compared the efficacy of decompressive craniectomy and craniotomy for the surgical treatment of traumatic acute subdural hematoma. |
• | Randomization was performed intraoperatively, once the bone flap was elevated. |
• | Patients whose brain was to swollen for the bone flap to be safely replaced were excluded from the trial. |
• | No difference was found in the neurological outcome between the decompressive craniectomy group and the craniotomy group. |
• | Patients who were excluded because of intraoperative brain swelling were the one who really required decompressive craniectomy, which induces a selection bias and thus precludes from generalizing the results to all the patients operated on for acute subdural hematoma. |
Plan
© 2023
Elsevier Masson SAS. Tous droits réservés.
Vol 69 - N° 6
Article 101490- novembre 2023 Retour au numéro
Article précédent
- Remote thoracic spinal cord hemorrhage caused by lumbar epidural arteriovenous fistula with perimedullary venous drainage
- Tomoaki Harada, Atsushi Fujita, Masaaki Kohta, Takashi Sasayama
- Chordoma concurrent with benign notochordal cell tumor of the mobile spine. Should the chordoma part be biopsied? - A stepwise approach for management
- Ramy Samargandi, Gonzague de Pinieux, Aymeric Amelot, Louis-Romée Le Nail
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?