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Review
. 2016;80(5):144-150.
doi: 10.17116/neiro2016805144-150.

[Decompressive craniotomy in patients with intracranial aneurysmal hemorrhage]

[Article in Russian]
A N Konovalov  1 , O B Belousova  1 , Yu V Pilipenko  1 , Sh Sh Eliava  1
Affiliations
Free article
Review

[Decompressive craniotomy in patients with intracranial aneurysmal hemorrhage]

[Article in Russian]
A N Konovalov et al. Zh Vopr Neirokhir Im N N Burdenko. 2016.
Free article

Abstract
in English, Russian

Decompressive craniotomy (DCT) has been used for treatment of patients with acute aneurysmal subarachnoid hemorrhage (SAH) for more than 20 years. But so far, the attitude to this surgery is controversial, and the indications and contraindications for it are not clearly defined. The article reviews the domestic and foreign literature devoted to the issues of validity and efficacy of DCT in treatment of cerebral edema and intracranial hypertension in patients with aneurysmal SAH.

Опыт использования декомпрессионной трепанации черепа (ДТЧ) в лечении больных в острой стадии аневризматического субарахноидального кровоизлияния (САК) насчитывает уже более 20 лет. Тем не менее до настоящего времени отношение к этой операции противоречиво, а показания и противопоказания четко не определены. В данной статье представлен обзор отечественной и зарубежной литературы, посвященный вопросам обоснованности и эффективности ДТЧ в лечении отека мозга и внутричерепной гипертензии у больных с аневризматическим САК.

Keywords: aneurysm; decompressive craniotomy; subarachnoid hemorrhage.

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