Decompressive craniectomy: A salvage treatment for patients with central nervous system tumors

Abstract Background: Decompressive craniectomy (DC) has been used for the treatment of refractory increased intracranial pressure (ICP) in patients with brain trauma and stroke; its beneficial role is still a matter of debate. Little has been written on the role of DC in the setting of patients with intracranial tumors. Methods: We retrospectively reviewed our institutional tumor registry for all adult patients treated with a DC as an emergency treatment between January 2012 and June 2019. Results: A total of 61 patients were taken into surgery for a DC secondary to raised ICP related to a central nervous system tumor. The Kaplan-Meier curves in the study showed that 18.9 months was the mean survival time (MST) of the global population, 40 patients died (65.5%) during the follow-up period. Patients in the group of over 60 years had a worst survival time than younger patients (p = 0.01). Patients with intracerebral hemorrhage had the worst MST compared with the patients with other etiologies (p = 0.04). Conclusion: Our data show that in some selected cases DC is a viable option as a salvage treatment for patients with intracranial tumors.

Bibliographic Details

Main Authors:	Jacobo,Javier A., Vazquez-Gregorio,Rafael, Moreno-Jimenez,Sergio, Mejia-Perez,Sonia
Format:	Digital revista
Language:	English
Published:	Academia Mexicana de Cirugía A.C. 2021
Online Access:	http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2444-054X2021000500603
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