Stefini R, Bergomi R, Catenacci E, Cereda C, Latronico N, Mortini P
Department of Neurosurgery, University of Brescia, Brescia, Italy.
Br J Neurosurg. 2007 Oct;21(5):527-31. doi: 10.1080/02688690701411582.
Decompressive craniectomy (DC) is considered a 'second tier' therapy to control posttraumatic intracranial hypertension refractory to maximal medical treatment. The authors present a case of refractory intracranial hypertension due to diffuse brain swelling and a large (>25 ml) non-surgically-treatable haematoma of the splenium of the corpus callosum successfully treated with bi-occipital DC and augmentative duraplasty.
减压性颅骨切除术(DC)被视为一种“二线”治疗方法,用于控制在最大程度药物治疗后仍难以控制的创伤后颅内高压。作者报告了一例因弥漫性脑肿胀和胼胝体压部一个大的(>25毫升)无法手术治疗的血肿导致的难治性颅内高压病例,该病例通过双侧枕部DC和增强硬脑膜成形术成功得到治疗。