Hydrocephalus after decompressive craniectomy prevention

Decompressive craniectomy with a superior limit <25 mm from the midline should be avoided 1) 2).

A study showed a correlation between craniectomy size and the incidence of Posttraumatic Hydrocephalus 3).

The presence of interhemispheric subdural hygromas and younger age were associated with shunt-dependent hydrocephalus after DC in patients with severe TBI 4).

Cranioplasty

Cranioplasty for hydrocephalus prevention after decompressive craniectomy

1)
De Bonis P, Pompucci A, Mangiola A, Rigante L, Anile C. Post-traumatic hydrocephalus after decompressive craniectomy: an underestimated risk factor. J Neurotrauma. 2010 Nov;27(11):1965-70. doi: 10.1089/neu.2010.1425. PubMed PMID: 20812777.
2)
Takeuchi S, Takasato Y, Masaoka H, Hayakawa T, Yatsushige H, Nagatani K, Osada H, Otani N, Wada K, Nawashiro H. Hydrocephalus after decompressive craniectomy for hemispheric cerebral infarction. J Clin Neurosci. 2013 Mar;20(3):377-82. doi: 10.1016/j.jocn.2012.03.035. PubMed PMID: 23266079.
3)
Fotakopoulos G, Tsianaka E, Siasios G, Vagkopoulos K, Fountas K. Posttraumatic Hydrocephalus after Decompressive Craniectomy in 126 Patients with Severe Traumatic Brain Injury. J Neurol Surg A Cent Eur Neurosurg. 2016 Mar;77(2):88-92. doi: 10.1055/s-0035-1558411. Epub 2015 Sep 9. PubMed PMID: 26351868.
4)
Vedantam A, Yamal JM, Hwang H, Robertson CS, Gopinath SP. Factors associated with shunt-dependent hydrocephalus after decompressive craniectomy for traumatic brain injury. J Neurosurg. 2017 Jun 16:1-6. doi: 10.3171/2017.1.JNS162721. [Epub ahead of print] PubMed PMID: 28621627.