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Decompressive craniectomy (crani-+ -ectomy) is a neurosurgical procedure in which part of the skull is removed to allow a swelling or herniating brain room to expand without being squeezed. It is performed on victims of traumatic brain injury , stroke , Chiari malformation , and other conditions associated with raised intracranial pressure .
Cranioplasty is a surgical operation on the repairing of cranial defects caused by previous injuries or operations, such as decompressive craniectomy.It is performed by filling the defective area with a range of materials, usually a bone piece from the patient or a synthetic material.
Recovery after ATL can take several weeks to months. Anti-seizure medications will be continued for several months after ATL. As it is an open surgery it takes time for the brain to heal. [10] Speech therapy, occupational therapy, etc. can help recovery. About 90% of people experience an improvement in seizures after temporal lobectomy.
In medicine, decompression refers to the removal or repositioning of any structure compressing any other structure. [citation needed]Common examples include decompressive craniectomy (removal of part of the skull to relieve pressure on the brain), a spinal decompression to relieve pressure on nerve roots, and a nerve decompression for peripheral nerve entrapments.
A craniotomy is a surgical operation in which a bone flap is temporarily removed from the skull to access the brain.Craniotomies are often critical operations, performed on patients who are suffering from brain lesions, such as tumors, blood clots, removal of foreign bodies such as bullets, or traumatic brain injury, and can also allow doctors to surgically implant devices, such as deep brain ...
After the decompression is complete, the wound is flushed clean with saline solution. The dura is closed in a watertight fashion. The skull is reconstructed and the overlying tissues are closed in multiple layers. The patient is allowed to wake up and is taken to an intensive care unit or other close observation unit. [7]
Postoperative cognitive dysfunction (POCD) is a decline in cognitive function (especially in memory and executive functions) that may last from 1–12 months after surgery, or longer. [1] In some cases, this disorder may persist for several years after major surgery. [2] POCD is distinct from emergence delirium. Its causes are under ...
Treatment involves removal of the etiologic mass and decompressive craniectomy. Brain herniation can cause severe disability or death. Brain herniation can cause severe disability or death. In fact, when herniation is visible on a CT scan , the prognosis for a meaningful recovery of neurological function is poor. [ 2 ]