Advertisement

Neurocritical Care

, Volume 30, Issue 2, pp 235–238 | Cite as

Stroke and Craniectomy

  • Eelco F. M. WijdicksEmail author
Neurocritical care through history
  • 529 Downloads

Abstract

Neurosurgical involvement in the care of major stroke complications has yielded striking results in the subtentorial region but equivocal outcomes in the supratentorial compartment. Most neurosurgeons want to see some degree of deterioration before proceeding; thus, timing will be debated. Viewpoints have changed over the years regarding surgical or medical intervention, but in many patients the procedure has not produced a definitive change in outcome other than preventing death from terminal brainstem shift. The introduction of craniectomy (and craniotomy) to treat swollen ischemic brain or intracranial hemorrhage has historical interest.

Keywords

Decompressive craniectomy Stroke complications History Outcome 

References

  1. 1.
    McKissock W, Richardson A, Walsh R. Spontaneous cerebellar hemorrhage. A study of 34 cases treated surgically. Brain. 1960;83:1–9.CrossRefGoogle Scholar
  2. 2.
    Mendelow AD, Gregson BA, Fernandes HM, Murray GD, Teasdale GM, Hope DT, Karimi A, Shaw MD, Barer DH. investigators S. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH): a randomized trial. Lancet. 2005;365:387–97.CrossRefGoogle Scholar
  3. 3.
    Mendelow AD, Gregson BA, Rowan EN, Murray GD, Gholkar A, Mitchell PM, Investigators SI. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral hematomas (STICH II): a randomized trial. Lancet. 2013;382:397–408.CrossRefGoogle Scholar
  4. 4.
    Hillairet JB. De l’hemorrhagie cerebelleuse. Arch Gen de Med. 1858;11:411–32.Google Scholar
  5. 5.
    Ballance H. A case of traumatic hemorrhage into the left lateral lobe of the cerebellum treated by operation with recovery. Surg Gynecol Obstet. 1906;3:223–5.Google Scholar
  6. 6.
    Stewart TG, Holmes G. Symptomatology of cerebellar tumors. A study of forty cases. Brain. 1904;27:522–49.CrossRefGoogle Scholar
  7. 7.
    Fairburn B, Oliver LC. Cerebellar softening; a surgical emergency. Br Med J. 1956;1:1335–6.CrossRefGoogle Scholar
  8. 8.
    Scarcella G. Encephalomalacia simulating the clinical and radiological aspects of brain tumor; a report of 6 cases. J Neurosurg. 1956;13:278–92.CrossRefGoogle Scholar
  9. 9.
    Walker AE, Black P. The heroic treatment of acute head injuries: a critical analysis of the results. Am Surg. 1960;26:184–8.Google Scholar
  10. 10.
    Clark K, Nash TM, Hutchison GC. The failure of circumferential craniotomy in acute traumatic cerebral swelling. J Neurosurg. 1968;29:367–71.CrossRefGoogle Scholar
  11. 11.
    Greenwood J Jr. Acute brain infarctions with high intracranial pressure: surgical indications. Johns Hopkins Med J. 1968;122:254–60.Google Scholar
  12. 12.
    Ivamoto HS, Numoto M, Donaghy RM. Surgical decompression for cerebral and cerebellar infarcts. Stroke. 1974;5:365–70.CrossRefGoogle Scholar
  13. 13.
    Rengachary SS, Batnitzky S, Morantz RA, Arjunan K, Jeffries B. Hemicraniectomy for acute massive cerebral infarction. Neurosurgery. 1981;8:321–8.CrossRefGoogle Scholar
  14. 14.
    Gillett G. Whose best interests? Advance directives and clinical discretion. J Law Med. 2009;16:751–8.Google Scholar
  15. 15.
    Li Y, Yang R, Li Z, Yang Y, Tian B, Zhang X, Wang B, Lu D, Guo S, Man M, et al. Surgical evacuation of spontaneous supratentorial lobar intracerebral hemorrhage: comparison of safety and efficacy of stereotactic aspiration, endoscopic surgery, and craniotomy. World Neurosurg. 2017;105:332–40.CrossRefGoogle Scholar
  16. 16.
    Hanley DF, Thompson RE, Muschelli J, Rosenblum M, McBee N, Lane K, Bistran-Hall AJ, Mayo SW, Keyl P, Gandhi D, et al. Safety and efficacy of minimally invasive surgery plus alteplase in intracerebral haemorrhage evacuation (MISTIE): a randomised, controlled, open-label, phase 2 trial. Lancet Neurol. 2016;15:1228–37.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2017

Authors and Affiliations

  1. 1.Department of NeurologyMayo ClinicRochesterUSA

Personalised recommendations