Improved brain protection at decompressive craniectomy - a new method using Palacoso (R) R-40 (methylmethacrylate)

• A new method is described for protecting the brain after decompressive craniectomy in which a temporary methylmethacrylate flap is formed, somewhat larger than the original bone flap, thus gaining "extra" volume for the oedematous brain in which to expand. The present procedure was developed as a pan of ordinary clinical practice particularly in response to demands from the NICU staff and our colleagues at other clinics who were responsible for the care of the patient in the post NICU period. They made us keenly aware that these patients frequently lack optimal co-ordination and balance and therefore run an increased risk of trauma to the unprotected brain when failing. This prompted us to develop a method for brain protection after decompressive craniectomy aiding in the care and rehabilitation until the final installation of the patient's own bone flap can be performed.

Keyword

decompressive craniectomy

malignant brain oedema

bone-flap

Palacose (R) R-40

MEDICINE

MEDICIN

Publication and Content Type

ref (subject category)

art (subject category)