Retrospective Review of Bilateral Decompressive Craniectomy of 51 Patients after Severe Traumatic Head Injury

Authors

  • AKM Bazlul Karim Associate Professor, Department of Neurosurgery, Enam Medical College & Hospital, Bangladesh
  • Riad Habib Assistant Professor, Department of Neurosurgery, Enam Medical College & Hospital, Bangladesh
  • Abu Tahir Mohammad Sahidullah Monsur Associate Professor Department of Neuro ICU & Anaesthesia, Enam Medical College & Hospital, Bangladesh
  • Atique Bin Hussain Medical Officer, Department of Neurosurgery, Enam Medical College & Hospital, Bangladesh
  • Kawshik Ahmed Medical Officer, Department of Neurosurgery, Enam Medical College & Hospital, Bangladesh
  • Mir Shamsad Hossain Medical Officer, Department of Neurosurgery, Enam Medical College & Hospital, Bangladesh
  • Aziza Khatun Medical Officer, Department of Neurosurgery, Enam Medical College & Hospital, Bangladesh
  • Mithun Kumar Dey Medical Officer, Department of Neurosurgery, Enam Medical College & Hospital, Bangladesh
  • Adnan Moasir Hasnine Registrar, Department of Neurosurgery, Enam Medical College & Hospital, Bangladesh
  • Md Mamun Reza Registrar, Department of Neurosurgery, Enam Medical College & Hospital, Bangladesh
  • Akas Biswas Ex- Medical Officer, Department of Neurosurgery, Enam Medical College & Hospital, Bangladesh
  • Dibakar Chaudhury Anesthesiologist, Shaheed Suhrawardy Medical College Hospital, Bangladesh
  • MD Rezwan Radid Anesthesiologist, Shaheed Suhrawardy Medical College Hospital, Bangladesh
  • Md Arif Hasan Junior Consultant, Department of Neuro ICU & Anaesthesia, Enam Medical College & Hospital, Bangladesh
  • Kazi Shahabulbul Islam Ex- Junior Consultant, Department of Neuro ICU & Anaesthesia, Enam Medical College & Hospital, Bangladesh
  • Md Ashiqul Muhit Khan Ex- Junior Consultant, Department of Neuro ICU & Anaesthesia, Enam Medical College & Hospital, Bangladesh
  • MD Ifran Ahmed Resident, Anaesthesia, Analgesia, Palliative care & Intensive Care, DMCH, Bangladesh

DOI:

https://doi.org/10.3329/bjns.v11i2.61451

Keywords:

Severe head injury, Bilateral DC, Bilateral decompressive craniectomy, Outcome, RTA, Physical assault

Abstract

Background: Decompressive craniectomy (DC) is one of the commonly used treatment modalities for refractory intracranial hypertension after severe traumatic brain injury.

Objective: To assess the functional outcome following bilateral decompressive craniectomy (DC) in traumatic head injury based on Glasgow Outcome Scale (GOS).

Materials and methods: This is a retrospective study conducted at Enam Medical College & Hospital, from January 2019- December 2020. Data of the patients who had undergone bilateral DC for severe traumatic head injury were reviewed from medical record files. Data were collected pre-designed data collection sheet. Data were analyzed using computer based program statistical package for social science (SPSS) for windows version 25.0 software.

Results: This study shows maximum (56.9%) were 16-30 years. The average age was 29.70±14.78 years. Majority were male (94.1%) and only 5.9% were female. Road traffic accidents (RTA) were the most frequent causative event of traumatic injury. Most of the patients (88.2%) were hospital stay 1-5 days then 9.8% were 6-10 days and only 2% were >10 days. The average hospital stays were 3.26±2.43 days. Majority (60.7%) were good recovery, 13.7% were moderate disability, 5.9% were severe disability, 2% were persistent vegetative state and 13.7% were death at home.

Conclusion: This study recommends a larger prospective study to assess the longterm functional outcome of bilateral decompressive craniectomy after severe traumatic head injury.

Bang. J Neurosurgery 2022; 11(2): 89-93

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Published

2022-09-07

How to Cite

Karim, A. B. ., Habib, R. ., Sahidullah Monsur, A. T. M. ., Hussain, A. B. ., Ahmed, K. ., Hossain, M. S. ., … Ahmed, M. I. . (2022). Retrospective Review of Bilateral Decompressive Craniectomy of 51 Patients after Severe Traumatic Head Injury. Bangladesh Journal of Neurosurgery, 11(2), 89–93. https://doi.org/10.3329/bjns.v11i2.61451

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Original Articles