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Decompressive craniectomy, which is designed to overcome the space constraints of the Monro Kellie doctrine, is used to treat elevated intracranial pressure that is unresponsive to conventional treatment modalities. Traumatic brain injury, middle cerebral artery infarction, and aneurysmal subarachnoid hemorrhage are three conditions for which decompressive craniectomy has been predominantly used in the past. Despite an increasing number of reports supportive of decompressive craniectomy, the controversy over the suitability of the procedure and criteria for patient selection remains unresolved.
Professor Stephen Honeybul is giving a "Decompressive Craniectomy" conference, don't miss it!