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
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.