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Decompressive Craniectomy in Diffuse Traumatic Brain Injury - ICU

Decompressive Craniectomy in Diffuse Traumatic Brain Injury - ICU

Decompressive Craniectomy in Diffuse Traumatic Brain Injury - ICU

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Groups Randomization stratified, accord<strong>in</strong>g to centre and ICPmeasurement technique <strong>in</strong> blocks of 2 to 4 patients. Group A: Standard care alone (Lifesav<strong>in</strong>g decompressivecraniectomy after 72 hours s<strong>in</strong>ce admissionpermitted) Group B: Standard care plus large bifrontotemporoparietalmaximize thecraniectomy with bilateral dural open<strong>in</strong>g toreduction <strong>in</strong> <strong>in</strong>tracranial pressure. The sagittal s<strong>in</strong>us andfalx cerebri were not divided.Bone replacement after 2-3 months5

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