Neurocritical Care

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

Stroke and Craniectomy

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


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.


Decompressive craniectomy Stroke complications History Outcome 


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

Authors and Affiliations

  1. 1.Department of NeurologyMayo ClinicRochesterUSA

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