Post-Traumatic Cerebral Infarction : Outcome after Decompressive Hemicraniectomy for the Treatment of Traumatic Brain Injury

Ham, Hyung-Yong; Lee, Jung-Kil; Jang, Jee-Soo; Seo, Bo-Ra; Kim, Jae-Hyoo; Choi, Jeong‐Heui

doi:10.3340/jkns.2011.50.4.370

Cited by 19 publications

(23 citation statements)

References 28 publications

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“…160 Posttraumatic infarction, defined as an ischemic stroke in an arterial distribution, is reported to occur in 2% to 10% of patients during the acute in-hospital phase of severe head trauma. 205,206 Mechanisms of such infarcts include mass effect and compression of intracranial arteries resulting from cerebral edema and increased intracranial pressure and dissection of craniocervical arteries.…”

Section: Major Trauma Within 14 Days and Serious Head Trauma Within 3mentioning

confidence: 99%

Scientific Rationale for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke

Demaerschalk¹,

Kleindorfer²,

Adeoye³

et al. 2016

Stroke

566

237

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Purpose-To critically review and evaluate the science behind individual eligibility criteria (indication/inclusion and contraindications/exclusion criteria) for intravenous recombinant tissue-type plasminogen activator (alteplase) treatment in acute ischemic stroke. This will allow us to better inform stroke providers of quantitative and qualitative risks associated with alteplase administration under selected commonly and uncommonly encountered clinical circumstances and to identify future research priorities concerning these eligibility criteria, which could potentially expand the safe and judicious use of alteplase and improve outcomes after stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association Stroke Council's Scientific Statement Oversight Committee and the American Heart Association's Manuscript Oversight Committee. The writers used systematic literature reviews, references to published clinical and epidemiology studies, morbidity and mortality reports, clinical and public health guidelines, authoritative statements, personal files, and expert opinion to summarize existing evidence and to indicate gaps in current knowledge and, when appropriate, formulated recommendations using standard American Heart Association criteria. All members of the writing group had the opportunity to comment on and approved the final version of this document. The document underwent extensive American Heart Association internal peer review, Stroke The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This statement was approved by the American Heart Association Science Advisory and Coordinating Committee on September 24, 2015, and the American Heart Association Executive Committee on October 5, 2015. A copy of the document is available at http://my.americanheart.org/statements by selecting either the "By Topic" link or the "By Publication Date" link. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@ wolterskluwer.com.The online-only Data Supplement, which contains literature search strategies and Figures A, B, and C, is available with this article at http://circ. ahajournals.org/lookup/suppl/doi:10.1161/STR.0000000000000086/-/DC1.The American Heart Association requests that this document be cited as follows: Demaerschalk BM, Kleindorfer DO, Adeoye OM, Demchuk AM, Fugate JE, Grotta JC, Khalessi AA, Levy EI, Palesch YY, Prabhakaran S, Saposnik G, Saver JL, Smith EE; on behalf of the American Heart Association Stroke Council and Council on Epidemiology and Prevention. Scientific rational...

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Section: Major Trauma Within 14 Days and Serious Head Trauma Within 3mentioning

confidence: 99%

Scientific Rationale for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke

Demaerschalk¹,

Kleindorfer²,

Adeoye³

et al. 2016

Stroke

566

237

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“…6,7,[16][17][18][19] The incidence of PTCI ranged from 1.9% to 19.1% in moderate and severe traumatic brain injury. 6,7,[16][17][18][19] Presence of blunt cerebral vascular injury, 18 treatment of recombinant factor VIIa, 18 low admission GCS, 19 low systolic blood pressure (<90 mm Hg), 19 brain herniation, 23 and decompression craniotomy 18,19 may be risk factors of PTCI, according to previous studies. In our patient, brain herniation induced by contralateral EDH may be the primary cause of PTCI.…”

Section: Discussionmentioning

confidence: 98%

Serial Attacks

Gong

Li²,

Cao³

et al. 2016

Journal of Craniofacial Surgery

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A 40-year-old man suffered severe brain injury and received left side subdural hematoma evacuation with decompressive craniectomy. Intraoperative brain swelling had occurred during the surgery. Postoperative computed tomography (CT) scan was done immediately and showed a contralateral epidural hematoma resulting in herniation. Secondary hematoma evacuation was performed and found a linear fracture near a bleeding meningeal artery. 2 days later CT scan showed cerebral infarction mainly in right posterior cerebral artery distribution. Early diagnosis by postoperative CT scan or other potential ways such as intraoperative sonography is important to prompt treatments and interrupt the pathophysiological chain of the serial attacks.

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“…PTCI is one of the most severe secondary insults after TBI, and it has been presented as an indicator of poor clinical outcomes, with a high mortality rate despite appropriate medical and surgical interventions (8,(26)(27)(28). Some studies have reported that the overall mortality rate is as high as 50% (28,29).…”

Section: Discussionmentioning

confidence: 99%

“…We found that the incidence of post-operative cerebral infarction was higher in the rapid decompression group than in the controlled decompression group. Although many authors have reported that PTCI is rarely observed in TBI (27,29), it is very common in sTBI patients who undergo DC (8,25,28). Sauvigny et al (28) reported that 57 patients undergoing DC because of a space-occupying middle cerebral artery infarction developed PTCI.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Controlled Decompression for Severe Traumatic Brain Injury: A Randomized, Controlled Trial

Chen

et al. 2020

Front. Neurol.

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Background: Experimental evidence has indicated the benefits of intraoperative controlled decompression for the treatment of severe traumatic brain injury (sTBI). Intraoperative rapid decompression (conventional decompression) for the treatment of sTBI may result in intra-and post-operative complications. Controlled decompression may reduce these complications. Previous clinical trials in China have not yielded conclusive results regarding controlled decompression for sTBI. Therefore, we explored whether controlled decompression treatment decreases the rates of complications and improves the outcomes of patients with sTBI. Methods:We performed this randomized, controlled trial at our hospital. Patients with sTBI aged 18-75 years old were randomly (1:1) divided into controlled decompression surgery (n = 124) or rapid decompression surgery groups (n = 124). The primary outcome measures were the Extended Glasgow Outcome Scale (GOS-E) score at 6 months and 30-days all-cause mortality. The secondary outcomes were the incidences of intraoperative brain swelling, post-traumatic cerebral infarction, and delayed hematoma.Results: Compared with the rapid decompression group, the controlled decompression group had reduced 30-days all-cause mortality (18.6 vs. 30.8%, P = 0.035) and improved the 6-months GOS-E scores, and the difference was significant. In addition, the patients in the controlled decompression group had a lower intraoperative brain swelling rate (13.3 vs. 24.3%, P = 0.036), a lower delayed hematoma rate (17.7 vs. 29.0%, P = 0.048) and a relatively lower post-traumatic cerebral infarction rate (15.0 vs. 22.4%, P = 0.127) than those in the rapid decompression group.Conclusions: Our data suggest that controlled decompression surgery significantly improves sTBI outcomes and decreases the rates of sTBI-related complications. However, this was a single-hospital study, and well-designed multicenter randomized controlled trials are needed to evaluate the effects of controlled decompression surgery for the management of patients with sTBI.

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Post-Traumatic Cerebral Infarction : Outcome after Decompressive Hemicraniectomy for the Treatment of Traumatic Brain Injury

Cited by 19 publications

References 28 publications

Scientific Rationale for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke

Scientific Rationale for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke

Serial Attacks

The Effect of Controlled Decompression for Severe Traumatic Brain Injury: A Randomized, Controlled Trial

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