[Bilateral craniectomy in the treatment of severe traumatic XXXX ].

@entity1 @entity2657 @entity1276 @entity79 @entity751
The extensive bilateral craniectomy with opening of the dura offers the possibility of rapid reduction of intracranial pressure. The reactive @entity2657 with imminent or beginning decompensation indicates the need for operation. Technically, it is easy to carry out bilateral cranial decompression. The open dura results in no additional postoperative problem. 21 of our 30 @entity1 died postoperatively within 8.6 days, 2 @entity1 in state of @entity751 after 4 and 16 months. 2 @entity1 are living now with @entity751 for 17 and 20 months. All apallic @entity1 show a massive @entity1276 internus. 5 @entity1 demonstrate a full restitution. In this group there is an interval of 3.2 days between accident and operation, the duration of the postoperative unconsciousness was 9.4 days. In @entity1 a spontaneous ossification of the @entity79 may be expected if the periost is conserved. The article compares the bilateral craniectomy with other conservative and operative methods of treatment.
