The role of decompressive craniectomy in limited resource environments
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Fecha
2019
Título de la revista
Publicado en
Frontiers in Neurology, 1664-2295, Vol. 10, Nro. 112, 2019
Publicado por
Frontiers Media
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Resumen
Descripción
Abstract
Decompressive craniectomy (DC) is a neurosurgical procedure useful to prevent and
manage the impact of high intracranial pressure (ICP) that leads to brain herniation and
brain’s tissue ischemia. In well-resourced environment this procedure has been proposed
as a last tier therapy when ICP is not controlled by medical therapies in the management
of different neurosurgical emergencies like traumatic brain injury (TBI), stroke, infectious
diseases, hydrocephalus, tumors, etc. The purpose of this narrative review is to discuss
the role of DC in areas of low neurosurgical and neurocritical care resources. We
performed a literature review with a specific search strategy in web repositories and
some local and regional journals from Low and Middle-Income Countries (LMICs). The
most common publications include case reports, case series and observational studies
describing the benefits of the procedure on different pathologies but with several types
of biases due to the absence of robust studies or clinical registries analysis in these kinds
of environments.
Palabras clave
Keywords
Decompressive craniectomy, Low- and middle-income countries, Brain injury
Temáticas
Enfermedades del sistema nervioso
Procedimientos neuroquirúrgicos
Presión intracraneal
Procedimientos neuroquirúrgicos
Presión intracraneal