Journal of Clinical and Medical Sciences

Department of Surgery, La Paz University Hospital, 28046 Madrid, Spain

Publications

• Opinion   
  Resurgent Decompressive Cranial Surgery Following Severe Traumatic Brain Injury
  Author(s): Faupel Marco*
  
  Proteases Secondary brain injury results from a first brain injury caused by a variety of intracellular and extracellular processes. ICP, cerebral ischemia, and brain herniation form a pathogenic triad. Subalpine herniation, uncial herniation, central herniation, tonsillar herniation, external herniation by skull fracture, and other types are discussed, along with their clinical symptoms. Medical therapy usually lowers the ICP, improves cerebral perfusion pressure, and improves the clinical condition. In dedicated centres, ICP is measured using various pressure transducers in extradural, subdural, intra parenchymal, and intra ventricular compartments. Measurements of cerebral blood flow, brain tissue oxygenation, and so on are also possible. Cases that are recalcitrant to medical care of ICP are submitted to Decompressive craniotomy in centres where these facilities are not also acces.. View more»
  

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