Aim: To determine
the outcomes of decompressive craniectomy in patients presented with traumatic
Study Design: Prospective/Observational study
Place and Duration of Study: Department of Neurosurgery, Bahawal Victoria Hospital, Bahawalpur from 1st
July 2019 to 31st December 2019.
two patients of both genders presented with traumatic brain injury undergoing
decompressive craniectomy were included. Patient’s detailed demographics
including age, gender, cause of injury and site were recorded. Preoperatively
Glasgow coma scale was used to examine the severity. Final outcomes were
examined by Glasgow outcome scale. Follow-up was taken at postoperatively 3
two (67.74%) were males while 20(32.26%) were females. Mean age of patients was
34.26±13.57 years (ranges 12 to 65 years). Fifty one (82.26%) patients had
severe, 9(14.51%) had moderate and 2(3.23%) had mild injury as Glasgow coma
scale. Thirty eight (61.29%) patients had favorable outcomes while 15(24.19%)
had unfavorable outcomes and mortality found in 9 (14.52%) patients. Complications
found in 7(11.29%) patients.
Conclusion: Decompressive craniectomy is safe and effective treatment modality for
traumatic brain injury with high rate of favorable outcomes. Also it is very
helpful for reducing the intracranial pressure.
brain injury, Decompressive craniectomy, Recovery, Disability, Mortality