Ding Jun, Guo Yan, Tian Hengli
Shanghai Sixth People?s Hospital, Shanghai Jiaotong University, Shanghai, China.
Arq Neuropsiquiatr. 2014 Sep;72(9):715-20. doi: 10.1590/0004-282x20140106.
Decompressive craniectomy (DC) is widely used to treat intracranial hypertension following traumatic brain injury (TBI) or cerebral vascular disease. Many studies have discussed complications of this procedure, and hydrocephalus is a common complication of DC. To further evaluate the relationship between DC and hydrocephalus, a review of the literature was performed. Numerous complications may arise after DC, including contusion or hematoma expansion, epilepsy, herniation of the cortex through a bone defect, CSF leakage through the scalp incision, infection, subdural effusion, hydrocephalus and "syndrome of the trephined". Several hydrocephalus predictors were identified; these included DC, distance from the midline, hygroma, age, injury severity, subarachnoid or intraventricular hemorrhage, delayed time to craniotomy, repeated operation, and duraplasity. However, results differed among studies. The impact of DC on hydrocephalus remains controversial.
减压性颅骨切除术（DC）被广泛用于治疗创伤性脑损伤（TBI）或脑血管疾病后的颅内高压。许多研究已经讨论了该手术的并发症，脑积水是DC的常见并发症。为了进一步评估DC与脑积水之间的关系，我们进行了文献综述。DC术后可能会出现许多并发症，包括挫伤或血肿扩大、癫痫、皮层通过骨缺损疝出、脑脊液通过头皮切口漏出、感染、硬膜下积液、脑积水和“颅骨钻孔综合征”。确定了几个脑积水预测因素；这些因素包括DC、距中线的距离、脑积液、年龄、损伤严重程度、蛛网膜下腔或脑室内出血、开颅手术的延迟时间、重复手术和硬脑膜修补。然而，不同研究的结果有所不同。DC对脑积水的影响仍存在争议。
