Paradoxical brain herniation following decompressive craniectomy: A case series and systematic review of literature.

ABSTRACT:

Introduction

Paradoxical brain herniation (PBH) represents a rare and potentially life-threatening complication observed in individuals following decompressive craniectomy. Its diagnosis necessitates a high level of suspicion, combined with clinical and imaging evidence, such as midline shift, herniation, and a decreased Glasgow Coma Scale (GCS). Given the rarity and severity of this condition, we conduct a comprehensive literature review to identify all documented predisposing factors, clinical presentations, and appropriate clinical management. This review will serve as a guide for effective treatment strategies.

Case presentation

In this report, we document three cases of post-traumatic PBH following decompressive craniectomy. The patient's predisposing factor was a lumba

SUBMITTER: Taheri M 

PROVIDER: S-EPMC11567043 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature