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Decompressive craniectomy is a treatment of refractory intracranial hypertension after various etiologies : malignant ischemic stroke, traumatic brain injury, intraparenchymal hemorrhage, aneurysmal subarachnoid hemorrhage, cerebral venous thrombosis.
Initially considered as a lifesaving therapy, benefits in terms of survival were shown compared to medical treatment alone.
However, despite a better survival, morbidity and poor neurological outcome are frequent among survivors.
The objective of the study is to identify initial good neurological outcome factors after decompressive craniectomy in a large series of patients, in order to argue surgical and intensive care decisions, considering expected benefit and quality of life.
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Data sourced from clinicaltrials.gov
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