Decompressive Hemicraniectomies as a Damage Control Approach for Multilobar Firearm Projectile Injuries: A Single-Center Experience

Bertani, Raphael; Koester, Stefan W.; Perret, Caio; Pilon, Barbara; Batista, Sávio; Brocco, Breno; Barbosa, M. P.; Maria, Paulo Santa; Zuben, Daniela Von; Ferreira-Pinto, Pedro Henrique Costa; Monteiro, Ruy

doi:10.1016/j.wneu.2022.10.059

Cited by 3 publications

(1 citation statement)

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“…Due to the severity of her condition and the unavailability of embolization, a decompressive craniectomy was performed. Although patients usually underwent this procedure in traumas,[ 2 ] it was carried out as a temporary approach. After a careful review of the literature in the PubMed database, we did not find any cases temporarily treated with SDC.…”

Section: Discussionmentioning

confidence: 99%

Endolymphatic sac tumor: An urgent case presenting acute intracranial hypertension successfully treated with suboccipital decompressive craniectomy – 8 years of follow-up

Torres,

Ferreira-Pinto,

Ferreira

et al. 2024

Surgical Neurology International

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Background: Endolymphatic sac tumor (ELST) is a rare lesion. It may be sporadically or associated with Von Hippel-Lindau syndrome. Progressive audiovestibular symptoms characterize the typical clinical presentation. Here, we report a unique case of ELST with acute intracranial hypertension (IH) due to tumor compression, successfully treated with an urgent suboccipital decompressive craniectomy (SDC). Case Description: A 33-year-old woman previously underwent a biopsy and ventriculoperitoneal shunt. The histopathological finding revealed an ELST. One year later, she developed headache, vomiting, and somnolence due to brainstem compression. An urgent SDC was performed. One month later, preoperative endovascular embolization and partial tumor resection were carried out. After 6 months adjuvant radiotherapy (RT) therapy was administered. She has been under follow-up for 8 years since the last surgical procedure, and the tumor remains stable. Conclusion: ELST generally has a progressive clinical course. This is a unique case with acute IH due to tumor compression. The tumor’s high vascularity and the unavailability of endovascular embolization precluded its resection. SDC was an alternative approach. The final treatment included tumor embolization, surgical resection, and RT. No progression was observed for 8 years after the last procedure, and long-term follow-up is warranted.

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Section: Discussionmentioning

confidence: 99%