Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Research Article Volume 3 Issue 3

Predictive Analysis in Decompressive Craniotomy for Haemorrhagic Stroke

Md Moshiur Rahman1*, K M Ziaur Rahman2 and Imrul Kaies3

1Assistant Professor, Neurosurgery Department, Holy Family Red Crescent Medical College, Dhaka, Bangladesh
2Resident, Neurosurgery Department, Holy Family Red Crescent Medical College, Dhaka, Bangladesh
3Medical Officer, Anaesthesia Department, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka

*Corresponding Author: Md Moshiur Rahman, Assistant Professor, Neurosurgery Department, Holy Family Red Crescent Medical College, Dhaka, Bangladesh.

Received: February 18, 2020; Published: February 28, 2020

×

Abstract

Background: Haematoma volume is a strong predictor of morbidity and mortality in a spontaneous intracerebral hematoma. Timing of surgery, amount of clot removal, GCS on admission, pupillary abnormality and amount of bone removal of such cases are strong variables. A large amount of blood is causing impending herniation which is life-threatening and should be addressed immediately to reverse the situation. 

Objective: The main goal of this study is to assess the predictive analysis in decompressive craniotomy for haemorrhagic stroke. 

Method: A total of 72 cases were included in this study. This retrospective study was conducted in three private hospitals from 2009 to 2018. Male: Female was 3:2. Surgical outcome predictors were analyzed by using different variables- the timing of surgery, amount of clot removal, GCS on admission, pupillary abnormality, age of the patients and amount of bone removal.

Results: 8 patients died, 2 patients were in a vegetative state, 1 patient developed osteomyelitis in a bone flap and 1 had CSF leak and meningitis. 

Conclusion: Decompressive craniotomy for large intracerebral hematoma is lifesaving. Among the variables- the timing of surgery and the amount of bone removal are strong predictors of the outcome of the surgery.

Keywords: Haematoma; Craniotomy; Decompressive; Intracerebral

×

References

  1. Honeybul S., et al.  “The impact of cranioplasty on neurological function”. British Journal of Neurosurgery 27 (2013): 636-641.
  2. Meyer MJ., et al. “Acute management of acquired brain injury part I: an evidence-based review of non-pharmacological interventions”. Brain Injury 24 (2010): 694-705.
  3. Sahuquillo J., et al. “Decompressive craniectomy for the treatment of refractory high intracranial pressure in traumatic brain injury”. Cochrane Database of Systematic Reviews 1 (2006): CD003983.
  4. Schwab S., et al. “Early hemicraniectomy in patients with complete middle cer ebral artery infarction”. Stroke 29 (1998): 1888-1893.
  5. Polin RS., et al. “Decompressive bifrontal craniectomy in the treatment of severe refractory posttraumatic cerebral edema”. Neurosurgery 41 (1997): 84-92.
  6. Hamphill JC., et al. “The ICH score: a simple, reliable grading scale for intracerebral haemorrhage”. Stroke 32 (2001): 891-897.
  7. Kothari RU., et al. “The ABCs of measuring intracerebral hemorrhage volumes”. Stroke 27 (1996): 1304-1305.
  8. Rabinstein AA., et al. “Emergency craniotomy in patients worsening due to expanded cerebral hematoma: to what purpose?” Neurology 58 (2002): 1367-1372.
  9. Forgacs P., et al. “Characterization of chemical meningitis after neurological surgery”. Clinical Infectious Diseases 32 (2001): 179-185.
  10. Martinez-Manas RM., et al. “Camino intracranial pressure monitor: Prospective study of accuracy and complications”. Journal of Neurology, Neurosurgery, and Psychiatry 69 (2000): 82-86.
×

Citation

Citation: Md Moshiur Rahman., et al. “Predictive Analysis in Decompressive Craniotomy for Haemorrhagic Stroke”. Acta Scientific Neurology 3.3 (2020): 12-16.




Metrics

Acceptance rate32%
Acceptance to publication20-30 days

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is September 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US