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2013 ; 1
(4
): 175-8
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Emergent Decompressive Craniectomy in Patients with Fixed DilatedPupils; A Single
Center Experience
#MMPMID27162852
Moscote-Salazar LR
; Alvis-Miranda HR
; Palencia C
; M Rubiano A
Bull Emerg Trauma
2013[Oct]; 1
(4
): 175-8
PMID27162852
show ga
This is a case series which report the clinical results of decompressive
craniectomy in 4 patients with dilated pupils secondary to traumatic brain injury
and postoperative edema. Between 2011 and 2012, four patients, 3 males and 1
female, aged between 35 and 64 with mean age of 50.1±8.9 years, underwent
decompressive craniectomy due to brain traumatic edema. The follow up period
ranged between 1 to 6 months. All patients had Glasgow coma score (GCS) of 3-4 at
admission, and the duration of pupils being mydriatic was less than 20 minutes
before the operation. All patients had moderate disability with GCS of 4 after
the operation. Decompressive craniectomy can be a life-saving procedure which
provides a better outcome in patients with dilated pupils secondary to brain
trauma injury and postoperative edema with timing of less than 20 minutes.
However, the small number of the patients in this study is the main limitation to
the accuracy of the results, and more studies with larger number of patients are
warranted to evaluate the efficiency of decompressive craniectomy in patients
with dilated pupils.