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Improved brain protection at decompressive craniectomy - a new method using Palacoso (R) R-40 (methylmethacrylate)
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Neurosurgery . Östergötlands Läns Landsting, Reconstruction Centre, Department of Neurosurgery UHL.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Neurosurgery . Östergötlands Läns Landsting, Reconstruction Centre, Department of Neurosurgery UHL.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Clinical Chemistry. Östergötlands Läns Landsting, Reconstruction Centre, Department of Neurosurgery UHL.
2005 (English)In: Acta Neurochirurgica, ISSN 0001-6268, Vol. 147, no 3, 279-281 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2005. Vol. 147, no 3, 279-281 p.
Keyword [en]
decompressive craniectomy, malignant brain oedema, bone-flap, Palacose (R) R-40
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-46135DOI: 10.1007/s00701-004-0480-4OAI: oai:DiVA.org:liu-46135DiVA: diva2:267031
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2011-01-12

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Boström, SverreZsigmond, PeterTheodorsson, Annette

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