Bi-occipital decompressive craniectomy in refractory post traumatic intracranial hypertension: first report of one case RID F-1557-2010

Decompressive craniectomy (DC) is considered a 'second tier' therapy to control posttraumatic intracranial hypertension refractory to maximal medical treatment. The authors present a case of refractory intracranial hypertension due to diffuse brain swelling and a large (> 25 ml) non-surgically-treatable haematoma of the splenium of the corpus callosum, successfully treated with bi-occipital DC and augmentative duraplasty.