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.

Cherian, I., Burhan, H., Dashevskiy, G., Motta, S., Parthiban, J., Wang, Y., et al. (2019). Cisternostomy: A Timely Intervention in Moderate to Severe Traumatic Brain Injuries: Rationale, Indications, and Prospects. WORLD NEUROSURGERY, 131, 385-390 [10.1016/j.wneu.2019.07.082].

Cisternostomy: A Timely Intervention in Moderate to Severe Traumatic Brain Injuries: Rationale, Indications, and Prospects

Grasso, G.
2019-01-01

Abstract

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.
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85073766440&doi=10.1016/j.wneu.2019.07.082&partnerID=40&md5=678c3aa841ccf792c2c93d8a12b67c5e
Cherian, I., Burhan, H., Dashevskiy, G., Motta, S., Parthiban, J., Wang, Y., et al. (2019). Cisternostomy: A Timely Intervention in Moderate to Severe Traumatic Brain Injuries: Rationale, Indications, and Prospects. WORLD NEUROSURGERY, 131, 385-390 [10.1016/j.wneu.2019.07.082].
File in questo prodotto:
File Dimensione Formato  
1-s2.0-S1878875019319886-main.pdf

Solo gestori archvio

Tipologia: Versione Editoriale
Dimensione 535.13 kB
Formato Adobe PDF
535.13 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/413776
Citazioni
  • ???jsp.display-item.citation.pmc??? 1
  • Scopus 15
  • ???jsp.display-item.citation.isi??? 13
social impact