Decompressive Craniectomy Versus Cisternostomy in Traumatic Intracranial Hypertension. Systematic Review
Enrique Marcos Sierra Benítez MD1*, Morulaganyi Mogae MD2, Potlako Picasso Ntabe MD3, Indira Rojas Molina MD4, Isabel Bridón Nordet MD4, Ndapiwa Precious Lebalang MD5, Unami Gwendoline Badubi MD6, Tshielo Nature Otsogile2, Mairianny Quianella León Pérez MD7 and Mario Javier Garces Ginarte8
1 First degree specialist in Neurosurgery, Assistant Professor, University of Medical Sciences of Matanzas, Neurosurgery Team, Nyangabgwe Referral Hospital, Botswana.
2 Medical Resident, Neurosurgery Team, Nyangabgwe Referral Hospital, Botswana.
3 Medical Office, Orthopedic Team, Nyangabgwe Referral Hospital. Botswana.
4 First degree specialist in Anesthesiology and Resuscitation, Anesthesiology Team, Nyangabgwe Referral Hospital, Botswana.
5 Medical Resident, Orthopedics and Traumatology, Kenyatta National Hospital, Kenya.
6 Medical Resident, ENT, University of Nairobi, Kenya.
7 First degree specialist in Internal Medicine. Instructor Professor. University of Medical Sciences of Matanzas. Internal Medicine Team. Nyangabgwe Referral Hospital, Botswana.
8 Medical Student, University of Medical Sciences of Matanzas, Cuba.
*Corresponding Author: Enrique Marcos Sierra Benítez MD, First degree specialist in Neurosurgery, Assistant Professor, University of Medical Sciences of Matanzas, Neurosurgery Team, Nyangabgwe Referral Hospital, Botswana.
DOI: https://doi.org/10.58624/SVOANE.2023.04.0111
Received: November 06, 2023 Published: November 23, 2023
Abstract
To compare the usefulness of decompressive craniectomy versus cisternostomy in the surgical management of Traumatic Intracranial Hypertension was the objective of the present bibliographic review. A search was carried out for articles in journals from the databases: PubMed, Scielo and EBSCO. The key words used were: intracranial hypertension, severe craniocerebral trauma, decompressive craniectomy and cisternostomy. Searches were conducted with these terms in English and Spanish. Articles with the full text were consulted, published mainly between 2015 and 2023 in Spanish or English, although in multicenter and multinational studies with high global impact on the topic, the year of publication was not taken into account, given the importance of its inclusion in the present review. Articles that reflected controversies about Decompressive Craniectomy and Cisternostomy as a measure in ICH refractory to medical treatment were selected with priority. Decompressive craniectomy and Cisternostomy are surgical methods that have been shown to reduce intracranial pressure and mortality in patients with traumatic intracranial hypertension refractory to medical therapy, although decompressive craniectomy presents a higher and more reliable level of evidence than cisternostomy, the new mechanisms for reducing intracranial pressure in the latter procedure seem promising in the near future.
Keywords: Decompressive craniectomy, Cisternostomy, Traumatic Intracranial Hypertension
Citation: Sierra Benítez EM, Mogae M, Ntabe PP, Molina IR, Nordet IB, Lebalang NP, Badubi UG, Otsogile TN, Leon Pe rez MQ, Garces Ginarte MJ. Decompressive Craniectomy Versus Cisternostomy in Traumatic Intracranial Hypertension. Systematic Review. SVOA Neurology 2023, 4:6, 189-194.
