Skip to main content
SpringerLink
Log in

The outcome from acute subdural haematoma following decompressive hemicraniectomy

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

Retrospective analysis of 15 cases with acute subdural haematoma receiving decompressive hemicraniectomy was carried out in an effort to clarify the beneficial effect and limitation of this operative procedure. The patients in this series were divided into three groups according to postoperative intracranial pressure (ICP). Decompressive hemicraniectomy was effective in lowering ICP in all patients except for the cases that developed acute brain swelling. Overall mortality rate was 66.7% in this series. Preoperative clinical status, and intra- and postoperative ICP and CT findings obtained within 24 hours of operation were correlated with the operative outcome.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Becker, D. P., Miller, J. D., Ward, J. D., Greenberg, R. P., Young, H. F., Sakalas, R., The outcome from severe head injury with early diagnosis and intensive management. J. Neurosurg.47 (1977), 491–502.

    PubMed  Google Scholar 

  2. Britt, R. H., Hamilton, R. D., Large decompressive craniectomy in the treatment of acute subdural hematoma. Neurosurgery2 (1978), 195–200.

    PubMed  Google Scholar 

  3. Cooper, P. R., Hagler, H., Clark, W. K., Barnett, P., Enhancement of experimental cerebral edema after decompressive craniectomy: Implications for the management of severe head injuries. Neurosurgery4 (1979), 296–300.

    PubMed  Google Scholar 

  4. Cooper, P. R., Rovit, R. L., Ransohoff, J., Hemicraniectomy in the treatment of acute subdural hematoma: a re-appraisal. Surg. Neurol.5 (1976), 25–28.

    PubMed  Google Scholar 

  5. Fell, D. A., Fitzgerald, S., Moiel, R. H., Caram, P., Acute subdural hematomas: Review of 144 cases. J. Neurosurg.42 (1975), 37–42.

    PubMed  Google Scholar 

  6. Gobiet, W., Monitoring of intracranial pressure in patients with severe head injury. Neurochirurgia20 (1977), 35–47.

    PubMed  Google Scholar 

  7. Hahn, F. J. Y., Schapiro, R. L., The excessively small ventricle on computed axial tomography of the brain. Neuroradiology12 (1976), 137–139.

    PubMed  Google Scholar 

  8. Jennett, B., Bond, M., Assessment of outcome after severe brain damage: A practical scale. Lancet1 (1975), 480–484.

    PubMed  Google Scholar 

  9. Jennett, B., Teasdale, G., Braakman, R., Minderhoud, J., Heiden, J., Kurze, T., Prognosis of patients with severe head injury. Neurosurgery4 (1979), 283–289.

    PubMed  Google Scholar 

  10. Kuramoto, S., Shigemori, M., Acute subdural hematoma: Surgical technique. Neurol. Surg. (Tokyo)4 (1976), 727–732. (In Japanese, JPN.)

    Google Scholar 

  11. Marshall, L. F., Smith, R. W., Shapiro, H. M., The outcome with aggressive treatment in severe head injuries. Part 1: The significance of intracranial pressure monitoring. J. Neurosurg.50 (1979), 20–25.

    PubMed  Google Scholar 

  12. Marshall, L. F., Smith, R. W., Shapiro, H. M., The outcome with aggressive treatment in severe head injuries. Part 2: Acute and chronic barbiturate administration in the management of head injury. J. Neurosurg.50 (1979). 26–30.

    PubMed  Google Scholar 

  13. Morantz, R. A., Abad, R. M., George, A. E., Rovit, R. L., Hemicraniectomy for acute extracerebral hematoma: an analysis of clinical and radiographic findings. J. Neurosurg.39 (1973), 622–628.

    PubMed  Google Scholar 

  14. Ransohoff, J., Benjamin, M. V., Gage, E. L., Epstein, F., Hemicraniectomy in the management of acute subdural hematoma. J. Neurosurg.34 (1971), 70–76.

    PubMed  Google Scholar 

  15. Roberson, R. C., Kishore, P. R. S., Miller, J. D., Lipper, M. H., Becker, D. P., The value of serial computerized tomography in the management of severe head injury. Surg. Neurol.12 (1979), 161–167.

    PubMed  Google Scholar 

  16. Rose, J., Valtonen, S., Jennett, B., Avoidable factors contributing to death after head injury. Brit. Med. J.3 (1977), 615–618.

    Google Scholar 

  17. Rosenørn, J., Gjerris, F., Long-term follow-up review of patients with acute and subacute subdural hematomas. J. Neurosurg.48 (1978), 345–349.

    PubMed  Google Scholar 

  18. Stovring, J., Descending tentorial herniation. Findings on computed tomography. Neuroradiology14 (1977), 101–105.

    PubMed  Google Scholar 

  19. Venes, J. L., Collins, W. F., Bifrontal decompressive craniectomy in the management of head trauma. J. Neurosurg.420 (1975), 429–433.

    Google Scholar 

Download references

Author information

Author notes

  1. M. Shigemori M.D.

    Present address: Division of Neurosurgery, Omuta City Hospital, 3-3, Shiranuimachi, Omuta City, Fukuoka-Ken, Japan

Authors and Affiliations

  1. Department of Neurosurgery, Kurume University School of Medicine, Kurume City, Fukuoka-Ken, Japan

    M. Shigemori M.D., K. Syojima, K. Nakayama, T. Kojima, T. Ogata, M. Watanabe & S. Kuramoto

Authors
  1. M. Shigemori M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K. Syojima
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. K. Nakayama
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T. Kojima
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. T. Ogata
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. M. Watanabe
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. S. Kuramoto
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shigemori, M., Syojima, K., Nakayama, K. et al. The outcome from acute subdural haematoma following decompressive hemicraniectomy. Acta neurochir 54, 61–69 (1980). https://doi.org/10.1007/BF01401944

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01401944

Keywords

Search

Navigation