Abstract
DiscoverSys is a Canadian based Pharmaceutical and Biomedical Research Consulting Company having its corporate office in Edmonton. eJournals, a not-for-profit venture and the scholarly publishing services of DiscoverSys, uses the Open Journal Systems (OJS
Highlights
Decompressive craniectomy (DC) is the treatment for intractable high intracranial pressure (ICP)
Patients are left with a skull defect after the surgery and this necessitates the need to close back the defect after the acute period has passed to prevent secondary injuries due to exposed brain without a shield and because it still remains as a cosmetic defect which needs correction
Five months after the first surgery, he was planned for autologous cranioplasty and was electively admitted for surgery
Summary
Decompressive craniectomy (DC) is still the treatment of choice for intractable high intracranial pressure (ICP) with mass effect secondary to traumatic brain injury (TBI) and stroke.[1]. The bone flap was cryopreserved in a bone bank freezer He gradually improved after multidisciplinary team management and received active rehabilitation and physiotherapy. Five months after the first surgery, he was planned for autologous cranioplasty and was electively admitted for surgery His operative site was not bulging and his scalp was free from infection with a well-healed surgical scar. Must fit the cranial defect and achieve complete closure Good radiolucency and MRI compatible Resistance to infections or better if antibiotic coated Resistance to heat and does not expand Easy to shape but strong material Inexpensive Inert but autologous origin is the best was carefully dissected from the adherent galea to avoid any tear and cerebrospinal fluid (CSF) leak (Fig. 2A). This was followed by careful closure of the surgical wound
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