Bi-occipital decompressive craniectomy in refractory post traumatic intracranial hypertension: first report of one case

Br J Neurosurg. 2007 Oct;21(5):527-31. doi: 10.1080/02688690701411582.


Decompressive craniectomy (DC) is considered a 'second tier' therapy to control posttraumatic intracranial hypertension refractory to maximal medical treatment. The authors present a case of refractory intracranial hypertension due to diffuse brain swelling and a large (>25 ml) non-surgically-treatable haematoma of the splenium of the corpus callosum successfully treated with bi-occipital DC and augmentative duraplasty.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cerebral Hemorrhage, Traumatic / complications
  • Corpus Callosum / injuries
  • Craniotomy / methods*
  • Decompression, Surgical / methods*
  • Glasgow Coma Scale
  • Humans
  • Injury Severity Score
  • Intracranial Hypertension / diagnostic imaging
  • Intracranial Hypertension / surgery*
  • Male
  • Occipital Bone / surgery*
  • Radiography
  • Supine Position
  • Treatment Outcome