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CC BY 4.0 · Indian Journal of Neurosurgery
DOI: 10.1055/s-0044-1782690
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Hinge Craniotomy for Traumatic Brain Injury: Surgical Technique

Chirag Jain 
1   Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India
,
Indira Devi Bhagavatula 
1   Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India
,
Dhananjaya I. Bhat
2   Department of Neurosurgery, RV Aster, Bengaluru, India
,
Dhaval Shukla 
1   Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India
,
Subhas Konar
1   Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India
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Abstract

Hinge craniotomy has been described as an alternative to decompressive craniectomy for the control of intracranial pressure in traumatic brain injury and stroke. In this study, the authors highlight critical steps in performing a hinge craniotomy and present a clinical case of a patient with traumatic brain injury.

Keywords

hinge craniotomy - traumatic brain injury - intracranial hypertension


Publication History

Article published online:
03 May 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Hutchinson PJ, Kolias AG, Tajsic T. et al. Consensus statement from the International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury: consensus statement. Acta Neurochir (Wien) 2019; 161 (07) 1261-1274
    CrossrefPubMedGoogle Scholar
  • 2 Saini V, Guada L, Yavagal DR. Global epidemiology of stroke and access to acute ischemic stroke interventions. Neurology 2021; 97 (20, Suppl 2): S6-S16
    CrossrefPubMedGoogle Scholar
  • 3 Cooper DJ, Rosenfeld JV, Murray L. et al; DECRA Trial Investigators and the Australian and New Zealand Intensive Care Society Clinical Trials Group. Patient outcomes at twelve months after early decompressive craniectomy for diffuse traumatic brain injury in the randomized DECRA clinical trial. J Neurotrauma 2020; 37 (05) 810-816
    CrossrefPubMedGoogle Scholar
  • 4 Hutchinson PJ, Kolias AG, Timofeev IS. et al; RESCUEicp Trial Collaborators. Trial of decompressive craniectomy for traumatic intracranial hypertension. N Engl J Med 2016; 375 (12) 1119-1130
    CrossrefPubMedGoogle Scholar
  • 5 Cruz-Flores S, Berge E, Whittle IR. Surgical decompression for cerebral oedema in acute ischaemic stroke. Cochrane Database Syst Rev 2012; 1 (01) CD003435
    PubMedGoogle Scholar
  • 6 Schmidt III JH, Reyes BJ, Fischer R, Flaherty SK. JH S. Use of hinge craniotomy for cerebral decompression. Technical note. J Neurosurg 2007; 107 (03) 678-682
    CrossrefPubMedGoogle Scholar
  • 7 Goettler CE, Tucci KA. Decreasing the morbidity of decompressive craniectomy: the Tucci flap. J Trauma 2007; 62 (03) 777-778
    PubMedGoogle Scholar
  • 8 Ko K, Segan S. In situ hinge craniectomy. Neurosurgery 2007; 60 (4, Suppl 2): 255-258 , discussion 258–259
    PubMedGoogle Scholar
  • 9 Mishra T, Kishore K, Jayan M. et al. When the bone flap expands like bellows of accordion: feasibility study using novel technique of expansile (hinge) craniotomy for severe traumatic brain injury. Neurol India 2021; 69 (04) 973-978
    CrossrefPubMedGoogle Scholar