Abstract.
Objective:To report the feasibility of craniectomy with duraplasty in four patients with life-threatening encephalitis and, in particular, their long-term outcome. Design: Report of four cases, analysis of the acute clinical course and neurological long-term sequelae. Results: Generous craniectomy with duraplasty was performed in four patients with life-threatening encephalitis leading to decortication and decerebration. This treatment approach reduced intracranial pressure. The long-term sequelae (1.5–8 years after craniectomy) confirmed its appropriateness, having led to full neurological (cerebral) function, resocialization, and reintegration into their professional life in all four patients. Conclusion: Craniectomy with dural augmentation is a treatment approach in cases of severe space-occupying encephalitis, not only saving the patient's life but also leading to favorable long-term outcome.
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Final revision received: 30 May 2001
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Taferner, E., Pfausler, B., Kofler, A. et al. Craniectomy in severe, life-threatening encephalitis: a report on outcome and long-term prognosis of four cases. Intensive Care Med 27, 1426–1428 (2001). https://doi.org/10.1007/s001340101027
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DOI: https://doi.org/10.1007/s001340101027