Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: Sep 3, 2025

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
11:58

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

Published on: August 11, 2015

15.6K

Space-expanding flap in decompressive hemicraniectomy for stroke.

Philippe Schucht1, Andreas Nowacki1, Armin Osmanagic1

  • 11Department of Neurosurgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Journal of Neurosurgery
|July 28, 2022
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Tectal gliomas with "low-grade appearance": Natural history on MR imaging.

Neuro-oncology practice·2026
Same author

Differentiating aetiologies in perimesencephalic SAH: clinical insights into basilar artery perforator aneurysms.

Journal of neurology, neurosurgery, and psychiatry·2026
Same author

Response to the letter " Metric choice and programming-output concordance in DBS lead reconstruction robustness&quot.

Stereotactic and functional neurosurgery·2026
Same author

Impact of Symptom Duration on Brain Imaging Findings in Spontaneous Intracranial Hypotension.

AJNR. American journal of neuroradiology·2026
Same author

Predictors of deep brain stimulation response in patients with obsessive compulsive disorder: a systematic review and meta-analysis.

Scientific reports·2026
Same author

End-of-surgery MRI following pediatric neuro-oncological tumor resection.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery·2026

Temporary space-expanding flaps used during decompressive hemicraniectomy (DCE) appear safe and effective. This approach shields the brain post-surgery, potentially avoiding a second operation for bone flap reimplantation.

Area of Science:

  • Neurosurgery
  • Cerebrovascular Surgery
  • Trauma Surgery

Background:

  • Decompressive hemicraniectomy (DCE) is standard for malignant middle cerebral artery infarction.
  • Post-DCE, the brain faces risks like trauma and syndrome of the trephined.
  • Existing methods lack methods to mitigate these risks effectively.

Purpose of the Study:

  • To assess the feasibility and safety of temporary space-expanding flaps during DCE.
  • To evaluate clinical and radiological outcomes in patients receiving these flaps.
  • To determine if flaps can shield the brain and prevent complications.

Main Methods:

  • Prospective feasibility study involving 10 patients undergoing DCE.
  • Space-expanding flaps were implanted concurrently with DCE.
Keywords:
craniectomycranioplastydecompressive hemicraniectomymalignant strokespace flapspace-expanding flapsurgical technique

More Related Videos

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
10:35

Microvascular Decompression: Salient Surgical Principles and Technical Nuances

Published on: July 5, 2011

46.5K
Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
09:01

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

7.8K

Related Experiment Videos

Last Updated: Sep 3, 2025

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
11:58

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

Published on: August 11, 2015

15.6K
Microvascular Decompression: Salient Surgical Principles and Technical Nuances
10:35

Microvascular Decompression: Salient Surgical Principles and Technical Nuances

Published on: July 5, 2011

46.5K
Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
09:01

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

7.8K
  • Clinical and radiological outcomes were monitored.

    • Main Results:

    • 9 patients completed the study; no flap removals were needed for intracranial pressure or infection.
    • Mean midline shift significantly decreased post-flap implantation (6.67mm to 1.26mm).
    • No cases of sinking skin flap syndrome, other complications, or deaths observed; one infection post-bone flap reimplantation.

    Conclusions:

    • Concurrent use of space-expanding flaps during DCE for malignant infarction is feasible and safe.
    • Flaps may help patients avoid secondary surgery for autologous bone flap reimplantation and its associated risks.
    • This technique offers a potential protective measure against post-surgical complications.