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Journal ArticleDOI

Cranioplasty after decompressive hemicraniectomy: underestimated surgery-associated complications?

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TLDR
Almost one-third of the patients that are operated on for bone flap reimplantation after DC suffer from surgery-associated complications, which might raise the question, if subsequent operations can be avoided, if an artificial bone is initially chosen for cranioplasty.
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This article is published in Clinical Neurology and Neurosurgery.The article was published on 2013-08-01. It has received 133 citations till now. The article focuses on the topics: Cranioplasty & Artificial bone.

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Citations
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Journal ArticleDOI

Complications following cranioplasty: incidence and predictors in 348 cases.

TL;DR: Risk factors that predispose patients to an increased risk of cranioplasty complications and death are evaluated to provide the neurosurgeon with predictors of morbidity and mortality that could be incorporated in the clinical decision-making algorithm.
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Complications Associated with Decompressive Craniectomy: A Systematic Review

TL;DR: Overall, one of every ten patients undergoing DC may suffer a complication necessitating additional medical and/or neurosurgical intervention, which means Neurologists and neurosurgeons must be aware of all the potential complications of DC in order to properly advise their patients.
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Outcomes of cranioplasty with synthetic materials and autologous bone grafts.

TL;DR: Synthetic materials for cranial bone defect reconstruction exhibit more promising outcomes compared with autograft, and there were differences in survival rates among synthetic materials.
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Complications following cranioplasty and relationship to timing: A systematic review and meta-analysis.

TL;DR: Early cranioplasty within 90days after decompressive craniectomy is associated with an increased odds of hydrocephalus than with later craniplasty, but no difference in odds of developing other complications.
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Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury : Consensus statement.

Peter J. Hutchinson, +57 more
- 01 Jul 2019 - 
TL;DR: The International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury took place in Cambridge, UK, on the 28th and 29th September 2017 and presented the final consensus-based recommendations.
References
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Journal ArticleDOI

Decompressive Surgery for the Treatment of Malignant Infarction of the Middle Cerebral Artery (DESTINY). A Randomized, Controlled Trial

TL;DR: DESTINY showed that hemicraniectomy reduces mortality in large hemispheric stroke, and the steering committee decided to terminate the trial in light of the results of the joint analysis of the 3 European hemicaniectomy trials.
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Surgical decompression for space-occupying cerebral infarction (the Hemicraniectomy After Middle Cerebral Artery infarction with Life-threatening Edema Trial [HAMLET]): a multicentre, open, randomised trial

TL;DR: Surgical decompression reduces case fatality and poor outcome in patients with space-occupying infarctions who are treated within 48 h of stroke onset and there is no evidence that this operation improves functional outcome when it is delayed for up to 96 h after stroke onset.
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Sequential-Design, Multicenter, Randomized, Controlled Trial of Early Decompressive Craniectomy in Malignant Middle Cerebral Artery Infarction (DECIMAL Trial)

TL;DR: In this trial, early decompressive craniectomy increased by more than half the number of patients with moderate disability and very significantly reduced the mortality rate compared with that after medical therapy.
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Surgical decompression for traumatic brain swelling : indications and results

TL;DR: Surgical decompression should be routinely performed when indicated before irreversible ischemic brain damage occurs and the results demonstrate the importance of decompressive craniectomy in the treatment of traumatic brain swelling.
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