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Surgical Management of Trauma-Related Intracranial Hemorrhage—a Review

  • Neurotrauma (D. Sandsmark, Section Editor)
  • Published:
Current Neurology and Neuroscience Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The surgical management of trauma-related intracranial hemorrhage is characterized by marked heterogeneity. Large prospective randomized trials have generally been prohibited by the ubiquity of concordant pathology, diversity of trauma systems, and paucity of clinical equipoise among providers.

Recent Findings

To date, the results of retrospective studies and surgeon preference have driven the indications, modality, extent, and timing of surgical intervention in the global neurosurgical community.

Summary

With advances in our understanding of the pathophysiology of hemorrhagic TBI and the advent of novel surgical techniques, a reevaluation of surgical indication, timing, and approach is warranted. In this way, we can work to optimize surgical outcomes, achieving maximal functional recovery while minimizing surgical morbidity.

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  1. Department of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA

    Svetlana Kvint, Alexis Gutierrez, Rachel Blue & Dmitriy Petrov

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Kvint, S., Gutierrez, A., Blue, R. et al. Surgical Management of Trauma-Related Intracranial Hemorrhage—a Review. Curr Neurol Neurosci Rep 20, 63 (2020). https://doi.org/10.1007/s11910-020-01080-0

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