Decompressive craniectomy (DC)

 

  • Not recommended to improve outcomes (GOS-E score) @ 6 months

  • ↓ ICP

  • ↓ days in ICU

  • Large DC (≥12x15 cm) better than small DC (mortality & neuro outcomes)

 

Adapted from Guidelines for the Management of Severe TBI, 4th Ed., September 2016, Brain Trauma Foundation.