Surgery for Brain Edema

Peter Hutchinson, F.R.C.S.(SN); Ivan Timofeev, M.R.C.S.; Peter Kirkpatrick, F.R.C.S.(SN)


Neurosurg Focus. 2007;22(5):E14 

In This Article


Decompressive craniectomy as a surgical treatment for brain edema has been performed for many years and for several different pathophysiologies, including TBI, SAH, and ischemic stroke. The medical literature contains a wealth of information on decompressive craniectomy, al most exclusively observational series from individual centers. The role of this procedure remains unclear, however. We hope that randomized studies will provide Class I evidence that will aid the decision-making process in treating patients with refractory intracranial hypertension and brain edema.