Surgical treatment of elevated intracranial pressure: decompressive craniectomy and intracranial pressure monitoring

Authors: El Ahmadieh TY, Adel JG, El Tecle NE, Daou MR, Aoun SG, Nanney AD 3rd, Bendok BR.

Surgical techniques that address elevated intracranial pressure include (1) intraventricular catheter insertion and cerebrospinal fluid drainage, (2) removal of an intracranial space-occupying lesion, and (3) decompressive craniectomy. This review discusses the role of surgery in the management of elevated intracranial pressure, with special focus on intraventricular catheter placement and decompressive craniectomy. The techniques and potential complications of each procedure are described, and the existing evidence regarding the impact of these procedures on patient outcome is reviewed. Surgical management of mass lesions and ischemic or hemorrhagic stroke occurring in the posterior fossa is not discussed herein.

Full text and source: Neurosurgery Clinics of North America

Neurosurg Clin N Am. 2013 Jul;24(3):375-91. doi: 10.1016/j.nec.2013.03.003. Epub 2013 Apr 12.
Copyright © 2013 Elsevier Inc. All rights reserved.