Decompressive craniectomy for acute subdural hematoma [Neurosurgery Wiki]

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====== Decompressive craniectomy for acute subdural hematoma ======

It is supported that [[decompressive craniectomy]] significantly improve [[outcome]] in patients with refractory [[intracranial hypertension]] due to extensive [[contusion]], compared to routine [[craniotomy]]. However, as it has been known that bony [[decompression]] result in apparent exacerbation of [[edema]], the superiority of decompressive [[craniectomy]] to [[craniotomy]] is still controversial.
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Craniotomy is the preferred surgical technique for management of ASDH in the United States, being performed 10 times more frequently than craniectomy. Craniectomy was associated with significantly higher in-hospital mortality after propensity score matched analysis
((Rush B, Rousseau J, Sekhon MS, Griesdale DE. Craniotomy Versus Craniectomy for
Acute Traumatic Subdural Hematoma in the United States: A National Retrospective 
Cohort Analysis. World Neurosurg. 2016 Apr;88:25-31. doi:
10.1016/j.wneu.2015.12.034. Epub 2015 Dec 31. PubMed PMID: 26748175; PubMed
Central PMCID: PMC4833577.
)).