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Dekompressionskraniektomie bei ischämischen Hirninfarkten - Die chirurgische Perspektive


Gautschi, Oliver P; Cadosch, Dieter; Stienen, Martin N; Steiner, Luzius A; Schaller, Karl (2012). Dekompressionskraniektomie bei ischämischen Hirninfarkten - Die chirurgische Perspektive. Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie, 47(1):8-13.

Abstract

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.

Abstract

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.

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Additional indexing

Other titles:Decompressive craniectomy in acute stroke - The different perspective
Contributors:Klinik für Neurochirurgie am Universitätsspital Genf
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Department of Trauma Surgery
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Emergency Medicine
Health Sciences > Critical Care and Intensive Care Medicine
Health Sciences > Anesthesiology and Pain Medicine
Language:German
Date:January 2012
Deposited On:18 Sep 2012 09:28
Last Modified:06 May 2020 22:34
Publisher:Thieme
ISSN:0939-2661
OA Status:Closed
Publisher DOI:https://doi.org/10.1055/s-0032-1301374
PubMed ID:22286934

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