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Decompressive craniectomy (crani-+ -ectomy) is a neurosurgical procedure in which part of the skull is removed to allow a swelling or herniating brain room to expand without being squeezed. It is performed on victims of traumatic brain injury, stroke, Chiari malformation, and other conditions associated with raised intracranial pressure. Use of ...
Cerebral edema is commonly seen in a variety of brain injuries including ischemic stroke, subarachnoid hemorrhage, traumatic brain injury, subdural, epidural, or intracerebral hematoma, hydrocephalus, brain cancer, brain infections, low blood sodium levels, high altitude, and acute liver failure.
"One of the feared complications of stroke is cerebral edema, or brain swelling," Tan said, adding that usually occurs a few days after the stroke. "The brain is enclosed by the skull, and when ...
Injury to the brain will often result in brain swelling. As the brain is encased in the skull, limited swelling can be accommodated until the brain is no longer able to maintain normal function. There are two potential negative consequences from this swelling: ischemia due to compression of the brain tissue resulting in lack of blood and oxygen ...
Symptoms of chronic subdural hematomas are usually delayed more than three weeks after injury. [1] If the bleeds are large enough to put pressure on the brain, signs of increased intracranial pressure or brain damage will be present. [3] Other symptoms of subdural hematoma can include any combination of the following: [7]
An increase in pressure, most commonly due to head injury leading to intracranial hematoma or cerebral edema, can crush brain tissue, shift brain structures, contribute to hydrocephalus, cause brain herniation, and restrict blood supply to the brain. [13] It is a cause of reflex bradycardia. [14]
Surgery is required if the hematoma is greater than 3 cm (1 in), if there is a structural vascular lesion or lobar hemorrhage in a young patient. [34] A catheter may be passed into the brain vasculature to close off or dilate blood vessels, avoiding invasive surgical procedures. [45]
The patient—a 47-year-old woman named Ann who had experienced a brainstem stroke 18 years ago, terminating her ability to speak—agreed to have a paper-thin, credit card-sized set of 253 ...