Traumatic brain injury surgery

Jump to navigation Jump to search

Traumatic brain injury Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Traumatic Brain Injury from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Neurocognitive Disorder due to Traumatic Brain Injury

Diagnosis

Diagnostic study of choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

Echocardiography and Ultrasound

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Traumatic brain injury surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Traumatic brain injury surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Traumatic brain injury surgery

CDC on Traumatic brain injury surgery

Traumatic brain injury surgery in the news

Blogs on Traumatic brain injury surgery

Directions to Hospitals Treating Traumatic brain injury

Risk calculators and risk factors for Traumatic brain injury surgery

Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing. Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Surgery is not a first-line treatment option for patients with traumatic brain injury.

Indications

Surgery

  • Approximately half of severely head-injured patients will need surgery to remove or repair hematomas or contusions. Patients may also need surgery to treat injuries in other parts of the body. These patients usually go to the intensive care unit after surgery.
  • Sometimes when the brain is injured swelling occurs and fluids accumulate within the brain space. When an injury occurs inside the skull-encased brain, there is no place for swollen tissues to expand and no adjoining tissues to absorb excess fluid. This leads to an increase in the pressure within the skull, called intracranial pressure (ICP). High ICP can cause delicate brain tissue to be crushed, or parts of the brain to herniate across structures within the skull, potentially leading to severe damage. Medical personnel measure a patient's ICP using a probe or catheter. The instrument is inserted through the skull to the subarachnoid level and is connected to a monitor that registers ICP. If a patient has high ICP, he or she may undergo a ventriculostomy, a procedure that drains cerebrospinal fluid (CSF) from the ventricles to bring the pressure down by way of an external ventricular drain.
  • Decompressive craniectomy is a last-resort surgical procedure in which part of the skull is removed in an attempt to reduce severely high ICP.[3]

References

  1. Servadei F, Compagnone C, Sahuquillo J (2007). "The role of surgery in traumatic brain injury". Curr Opin Crit Care. 13 (2): 163–8. doi:10.1097/MCC.0b013e32807f2a94. PMID 17327737.
  2. Galgano M, Toshkezi G, Qiu X, Russell T, Chin L, Zhao LR (2017). "Traumatic Brain Injury: Current Treatment Strategies and Future Endeavors". Cell Transplant. 26 (7): 1118–1130. doi:10.1177/0963689717714102. PMC 5657730. PMID 28933211.
  3. Aarabi B, Hesdorffer DC, Ahn ES, Aresco C, Scalea TM, and Eisenberg HM. (2006) Outcome following decompressive craniectomy for malignant swelling due to severe head injury. Journal of Neurosurgery. Volume 104, Issue 4, Pages 469-479. PMID 16619648. Retrieved on [2007-01-21]]


Template:WikiDoc Sources