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Semin Neurol 2015; 35(01): 050-056
DOI: 10.1055/s-0035-1544244
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Neurosurgical Management in Traumatic Brain Injury

Michelle Feinberg
1   Department of Neurosurgery, George Washington University,Washington, D.C.
,
Jeffrey C. Mai
1   Department of Neurosurgery, George Washington University,Washington, D.C.
2   Department of Neurosciences, Inova Fairfax Hospital, Falls Church, Virginia
,
James Ecklund
1   Department of Neurosurgery, George Washington University,Washington, D.C.
2   Department of Neurosciences, Inova Fairfax Hospital, Falls Church, Virginia
› Author Affiliations
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Publication History

Publication Date:
25 February 2015 (online)

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Abstract

Severe traumatic brain injury (TBI) is one of the most complex and diverse pathologic medical conditions. Each year, approximately 100,000 patients require neurosurgical evacuation of an intracranial hematoma in the United States. It is essential, early in the clinical course, to distinguish those patients with severe TBI who require operative intervention from those who can be managed with only conservative measures. The surgical technique employed is determined primarily by the specific underlying pathology in conjunction with the patient's other comorbidities.

Keywords

traumatic brain injury - subdural hematoma - epidural hematoma - craniotomy