Cortical Pressure Injury: A Hypothesis to Explain the Incongruity of Clinical and Radiologic Improvement in Decompressive Craniectomy
It has astonished neuroscientists since the advent of decompressive craniectomy as to why a seemingly successfully achieved goal of reduction in intracranial pressure (ICP), by removing a portion of the cranial vault and the resultant intracranial volume augmentation, fails to give the desired benef...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2019-10-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1697727 |
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| _version_ | 1850234414850637824 |
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| author | Sudip Kumar Sengupta Harjinder Singh Bhatoe |
| author_facet | Sudip Kumar Sengupta Harjinder Singh Bhatoe |
| author_sort | Sudip Kumar Sengupta |
| collection | DOAJ |
| description | It has astonished neuroscientists since the advent of decompressive craniectomy as to why a seemingly successfully achieved goal of reduction in intracranial pressure (ICP), by removing a portion of the cranial vault and the resultant intracranial volume augmentation, fails to give the desired beneficial clinical outcome in every case and in fact, at times, proves to be deleterious in some conditions with a shared problem of refractory raised ICP. The authors propose a hypothesis based on the understanding of the anatomy and physiology of the brain that can explain the fallacy. |
| format | Article |
| id | doaj-art-0df0d3e710ba415ba12c2eb7da4a407d |
| institution | OA Journals |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2019-10-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-0df0d3e710ba415ba12c2eb7da4a407d2025-08-20T02:02:38ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672019-10-01080318819010.1055/s-0039-1697727Cortical Pressure Injury: A Hypothesis to Explain the Incongruity of Clinical and Radiologic Improvement in Decompressive CraniectomySudip Kumar Sengupta0Harjinder Singh Bhatoe1Department of Neurosurgery, Command Hospital Eastern Command, Kolkata, West Bengal, IndiaDepartment of Neurosurgery, Fortis Hospital Noida, New Delhi, IndiaIt has astonished neuroscientists since the advent of decompressive craniectomy as to why a seemingly successfully achieved goal of reduction in intracranial pressure (ICP), by removing a portion of the cranial vault and the resultant intracranial volume augmentation, fails to give the desired beneficial clinical outcome in every case and in fact, at times, proves to be deleterious in some conditions with a shared problem of refractory raised ICP. The authors propose a hypothesis based on the understanding of the anatomy and physiology of the brain that can explain the fallacy.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1697727decompressive craniectomycortical pressure injuryhypothesis |
| spellingShingle | Sudip Kumar Sengupta Harjinder Singh Bhatoe Cortical Pressure Injury: A Hypothesis to Explain the Incongruity of Clinical and Radiologic Improvement in Decompressive Craniectomy Indian Journal of Neurosurgery decompressive craniectomy cortical pressure injury hypothesis |
| title | Cortical Pressure Injury: A Hypothesis to Explain the Incongruity of Clinical and Radiologic Improvement in Decompressive Craniectomy |
| title_full | Cortical Pressure Injury: A Hypothesis to Explain the Incongruity of Clinical and Radiologic Improvement in Decompressive Craniectomy |
| title_fullStr | Cortical Pressure Injury: A Hypothesis to Explain the Incongruity of Clinical and Radiologic Improvement in Decompressive Craniectomy |
| title_full_unstemmed | Cortical Pressure Injury: A Hypothesis to Explain the Incongruity of Clinical and Radiologic Improvement in Decompressive Craniectomy |
| title_short | Cortical Pressure Injury: A Hypothesis to Explain the Incongruity of Clinical and Radiologic Improvement in Decompressive Craniectomy |
| title_sort | cortical pressure injury a hypothesis to explain the incongruity of clinical and radiologic improvement in decompressive craniectomy |
| topic | decompressive craniectomy cortical pressure injury hypothesis |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1697727 |
| work_keys_str_mv | AT sudipkumarsengupta corticalpressureinjuryahypothesistoexplaintheincongruityofclinicalandradiologicimprovementindecompressivecraniectomy AT harjindersinghbhatoe corticalpressureinjuryahypothesistoexplaintheincongruityofclinicalandradiologicimprovementindecompressivecraniectomy |