Bipolar duraplasty: a new technique for reducing transcranial cerebral herniation to allow for definitive cranioplasty.

摘要: Large, full-thickness calvarial defects cause increased brain tissue compliance, often resulting in transient, transcranial herniation the setting of normotensive intracranial pressures. Cranioplasty serves to protect cerebrum from external injury, provide an aesthetic contour, and alleviate neurological symptoms. Traditional options for management include head elevation, osmotic diuresis, mild hyperventilation, durotomy with closure following fluid evacuation, expansile cranioplasty, lobectomy, procedure abortion prolonged helmet therapy. Patients treated conservatively therapy commonly are noncompliant sustain repeated minor trauma unprotected cerebral contents. Furthermore, recent literature suggests that early cranioplasty may improve outcomes reduce costs. The authors present a novel solution, bipolar duraplasty, which allows safe, transient reduction parenchymal using electrocautery. dura herniated sac is cauterized...