DOI: https://doi.org/10.25305/unj.214218

Comparative analysis of craniotomy methods in severe traumatic brain injury

Keneshbek B. Yrysov, Mitalip M. Mamytov, Bakytbek J. Turganbaev

Abstract


The goal of research: to improve the results of neurosurgical management in patients with traumatic brain compression by detecting an optimal way of craniotomy.

Material and methods. The study includes data of 127 patients with traumatic brain compression. The series consisted of 109 (85.8 %) males and 18 (14.2 %) females out of examined. The patients’ age ranged from 16 to 85 years. The neurosurgical interventions were performed in all patients with traumatic brain compression.

Results. The patients with traumatic brain compression regardless of craniotomy method (burr hole surgery, craniectomy, osteoplastic craniotomy) did not experience a statistically significant difference in the outcome. When planning a method of craniotomy in traumatic brain compressio, the grade of consciousness impairment on the Glasgow coma scale, brain contusion foci, acute subdural and intracerebral hematomas, brain compression, patients’ age and brain dislocation syndrome should be considered that predicts an outcome.

Conclusion. The results of a burr hole, resection, and osteoplastic craniotomy revealed no significant differences in outcome in patients with traumatic brain injury. Resection craniotomy in traumatic brain injury may be effective enough even in deep coma and dislocation syndrome but in absence of intraoperative brain edema. The absence of brain edema, the moderate coma level are indications for osteoplastic craniotomy.


Keywords


traumatic brain compression; subdural hematoma; epidural hematoma; intracerebral hematoma, burr hole surgery; craniectomy; osteoplastic craniotomy

References


1. Mattiello JA, Munz M. Images in clinical medicine. Four types of acute post-traumatic intracranial hemorrhage. N Engl J Med. 2001 Feb 22;344(8):580. [CrossRef] [PubMed]

2. Ayaz H, Izzetoglu M, Izzetoglu K, Onaral B, Ben Dor B. Early diagnosis of traumatic intracranial hematomas. J Biomed Opt. 2019 Feb;24(5):1-10. [CrossRef] [PubMed] [PubMed Central]

3. Nazarov M. К., Kadyrov R.M., Golev R.A. Summary of the new approaches of reduction of lethality at severe combined craniocerebral injury. Healthcare of Kyrgyzstan. 2018 (3): 50-5. Russian. https://www.elibrary.ru/item.asp?id=36498206

4. Servadei F, Compagnone C, Sahuquillo J. The role of surgery in traumatic brain injury. Curr Opin Crit Care. 2007 Apr;13(2):163-8. [CrossRef] [PubMed]

5. Robinson RG. Chronic subdural hematoma: surgical management in 133 patients. J Neurosurg. 1984 Aug;61(2):263-8. [CrossRef] [PubMed]

6. Hutchinson PJ, Kolias AG, Tajsic T, Adeleye A, Aklilu AT, Apriawan T, Bajamal AH, Barthélemy EJ, Devi BI, Bhat D, Bulters D, Chesnut R, Citerio G, Cooper DJ, Czosnyka M, Edem I, El-Ghandour NMF, Figaji A, Fountas KN, Gallagher C, Hawryluk GWJ, Iaccarino C, Joseph M, Khan T, Laeke T, Levchenko O, Liu B, Liu W, Maas A, Manley GT, Manson P, Mazzeo AT, Menon DK, Michael DB, Muehlschlegel S, Okonkwo DO, Park KB, Rosenfeld JV, Rosseau G, Rubiano AM, Shabani HK, Stocchetti N, Timmons SD, Timofeev I, Uff C, Ullman JS, Valadka A, Waran V, Wells A, Wilson MH, Servadei F. Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury : Consensus statement. Acta Neurochir (Wien). 2019 Jul;161(7):1261-1274. [CrossRef] [PubMed] [PubMed Central]

7. Akhundov EM, Vorobyev AA, Lazarev VA. Modern methods of decompressive craniectomy. Volgograd Journal of Medical Research. 2016;(1):17-9. Russian. https://www.elibrary.ru/item.asp?id=27249159

8. Ogunlade J, Elia C, Duong J, Yanez PJ, Dong F, Wacker MR, Menoni R, Goldenberg T, Miulli DE. Severe Traumatic Brain Injury Requiring Surgical Decompression in the Young Adult: Factors Influencing Morbidity and Mortality - A Retrospective Analysis. Cureus. 2018 Jul 24;10(7):e3042. [CrossRef] [PubMed] [PubMed Central]

9. Seyitbekov TT, Mamarajapov MT, Kudayberdieva JI. Results of surery in traumatic brain compression depending on craniotomy methods. Vestnik Kyrgyzskoj Gosudarstvennoj Medicinskoj Akademii. 2018;(5-6):34-9. Russian. https://www.elibrary.ru/item.asp?id=37082124

10. Tallon JM, Ackroyd-Stolarz S, Karim SA, Clarke DB. The epidemiology of surgically treated acute subdural and epidural hematomas in patients with head injuries: a population-based study. Can J Surg. 2008 Oct;51(5):339-45. [PubMed] [PubMed Central]

11. Kim H, Suh SJ, Kang HJ, Lee MS, Lee YS, Lee JH, Kang DG. Predictable Values of Decompressive Craniectomy in Patients with Acute Subdural Hematoma: Comparison between Decompressive Craniectomy after Craniotomy Group and Craniotomy Only Group. Korean J Neurotrauma. 2018 Apr;14(1):14-19. [CrossRef] [PubMed] [PubMed Central]

12. Seyitbekov TT, Mamarajapov MT, Kudayberdieva JI. Comparative analysis of craniotomy methods in traumatic brain compression. Vestnik Kyrgyzskoj Gosudarstvennoj Medicinskoj Akademii. 2018;(5-6):40-5. Russian. https://www.elibrary.ru/item.asp?id=37082125

13. Motohashi O, Kameyama M, Kon H, Fujimura M, Onuma T. [Two cases of impending herniation due to multiple traumatic acute subdural hematomas: combination of burr hole evacuation and craniotomy]. No Shinkei Geka. 2003 May;31(5):529-35. Japanese. [PubMed]

14. Winter CD, Adamides A, Rosenfeld JV. The role of decompressive craniectomy in the management of traumatic brain injury: a critical review. J Clin Neurosci. 2005 Aug;12(6):619-23. [CrossRef] [PubMed]

15. Jeong TS, Yee GT, Lim TG, Kim WK, Yoo CJ. Efficacy and safety of decompressive craniectomy with non-suture duraplasty in patients with traumatic brain injury. PLoS One. 2020 Oct 8;15(10):e0232561. [CrossRef] [PubMed] [PubMed Central]

16. Abecassis IJ, Kim LJ. Craniotomy for Treatment of Chronic Subdural Hematoma. Neurosurg Clin N Am. 2017 Apr;28(2):229-237. [CrossRef] [PubMed]

17. Fatima N, Al Rumaihi G, Shuaib A, Saqqur M. The Role of Decompressive Craniectomy in Traumatic Brain Injury: A Systematic Review and Meta-analysis. Asian J Neurosurg. 2019 Apr-Jun;14(2):371-381. [CrossRef] [PubMed] [PubMed Central]

18. Rubiano AM, Carney N, Khan AA, Ammirati M. The Role of Decompressive Craniectomy in the Context of Severe Traumatic Brain Injury: Summary of Results and Analysis of the Confidence Level of Conclusions From Systematic Reviews and Meta-Analyses. Front Neurol. 2019 Oct 10;10:1063. [CrossRef] [PubMed] [PubMed Central]


GOST Style Citations






Copyright (c) 2020 Keneshbek B. Yrysov, Mitalip M. Mamytov, Bakytbek J. Turganbaev

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.