TY - JOUR
T1 - Cisternostomy: A Timely Intervention in Moderate to Severe Traumatic Brain Injuries: Rationale, Indications, and Prospects
AU - Grasso, Giovanni
AU - Cherian, Iype
AU - Parthiban, Jutty
AU - Burhan, Hira
AU - Tong, Haibo
AU - Burhan, Hira
AU - Motta, Shugar Jhamil Hinojosa
AU - Dashevskiy, Gleb
AU - Tong, Haibo
AU - Wang, Yonghong
PY - 2019
Y1 - 2019
N2 - Traumatic brain injury (TBI) represents a major public health concern worldwide, with no significant change in its epidemiology over the last 30 years. After TBI, the primary injury induces irreversible brain damage, which is untreatable. The subsequent secondary injury plays a critical role in the clinical prognosis because without effective treatment it will provide additional tissue damage. The resulting scenario is the rise in intracranial pressure (ICP) with the development of progressive neurological deficits. Current optimal management is based on a progressive, target-driven approach combining both medical and surgical treatment strategies among which is decompressive hemicraniectomy. With the advent of technology, research in the glymphatic pathways, and advances in microscopic surgery, a novel surgical technique—the cisternostomy—has emerged that holds promise in managing rising ICP in TBI-affected patients. In this article we describe the rationale for cisternostomy, an emerging microneurosurgical approach for the management of moderate to severe TBI. © 2019 Elsevier Inc.
AB - Traumatic brain injury (TBI) represents a major public health concern worldwide, with no significant change in its epidemiology over the last 30 years. After TBI, the primary injury induces irreversible brain damage, which is untreatable. The subsequent secondary injury plays a critical role in the clinical prognosis because without effective treatment it will provide additional tissue damage. The resulting scenario is the rise in intracranial pressure (ICP) with the development of progressive neurological deficits. Current optimal management is based on a progressive, target-driven approach combining both medical and surgical treatment strategies among which is decompressive hemicraniectomy. With the advent of technology, research in the glymphatic pathways, and advances in microscopic surgery, a novel surgical technique—the cisternostomy—has emerged that holds promise in managing rising ICP in TBI-affected patients. In this article we describe the rationale for cisternostomy, an emerging microneurosurgical approach for the management of moderate to severe TBI. © 2019 Elsevier Inc.
UR - http://hdl.handle.net/10447/413776
UR - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85073766440&doi=10.1016/j.wneu.2019.07.082&partnerID=40&md5=678c3aa841ccf792c2c93d8a12b67c5e
M3 - Article
VL - 131
SP - 385
EP - 390
JO - World Neurosurgery
JF - World Neurosurgery
SN - 1878-8750
ER -