SURGICAL CORRECTION OF SECONDARY BRAIN INJURIES IN PATIENTS WITH INTRACRANIAL HEMORRHAGES

Abstract

The causes, pathogenesis and consequences of secondary brain damage in patients
with intracranial hemorrhages are described. It is shown that with increasing edema and acute
prolapse of the brain after removal of the foci of damage, the only method of treatment is
decompressive craniotomy (DC). Indications and contraindications for DC are listed. Special
attention is paid to the technical features of DC. It is emphasized that timely and, if possible,
early implementation of DC contributes to a reliable improvement in the treatment outcomes of
victims with severe TBI