Bilateral decompressive craniectomy for worsening coma in acute subarachnoid hemorrhage. Observations in support of the procedure

摘要: Bilateral craniectomy in a woman comatose and decerebrate after subarachnoid hemorrhage, resulted normal mentation 3 days. The dramatic recovery is unmatched our experience. rationale rested on clinicopathologic studies showing that such cases brain swelling was the cause of death, being otherwise intact. Emergency surgery to relieve tamponade seemed reasonable. question whether procedure has role those patients who fail respond current therapeutic measures. arguments favor, presented herein, are illustrated by three pathologic selected from longtime