Decompressive Craniotomy Verses Conservative Management in Severe Traumatic Brain Injuries
Keywords:
Severe Traumatic Brain Injury, Decompressive Craniotomy, duraplasty, GCSAbstract
Materials and Methods: Study design; prospective study, department of neurosurgery SZH, Rahim Yar Khan.
Study Duration: 2 years and 1 month from 1 st June 2011 to 31 July 2013.
Study Subject: 100 patients were divided into two groups i.e. I and II Group. Group I patients were managed conservatively and group II patients were managed surgically. Follow up was done at 3, 6, 9, 12 months after discharge and outcome in terms of improvement in GCS was compared between these two groups.
Results: Improvement in GCS to 11 or above was achieved in 60% patients of group I and in 68% patients of group II who were discharged with GCS 12 or above.
Conclusion: Our study suggests that operative measures for TBI gives better outcome as compared to conservative management.
Abbreviations: GCS = Decompressive craniotomy, duraplasty. ICP = Intracranial hypertension. TBI = Traumatic brain injury. ICU = Intensive Care Unit.
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