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Surgical Intervention for Brain Swelling

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Dr. Franklin Epstein is a neurosurgeon at the Audie L. Murphy Memorial VA Hospital in San Antonio, Texas. There, Dr. Franklin Epstein oversees surgical interventions for a variety of neurosurgical conditions and injuries, including swelling of the brain.

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Surgical Intervention for Brain Swelling

  1. 1. SURGICAL INTERVENTION FOR BRAIN SWELLING By Franklin Epstein
  2. 2. Introduction  Dr. Franklin Epstein is a neurosurgeon at the Audie L. Murphy Memorial VA Hospital in San Antonio, Texas. There, Dr. Franklin Epstein oversees surgical interventions for a variety of neurosurgical conditions and injuries, including swelling of the brain. Brain swelling, also known as brain edema or cerebral edema, poses a number of dangers to the patient. It is associated with high intracranial pressure (ICP), which in turn can cause permanent brain damage, incapacitation, or death. Initial treatment of brain edema often includes options such as oxygen therapy, IV fluids, or medication.
  3. 3. Brain Swelling  However, severe edema, such as that caused by traumatic brain injury or a stroke, may not respond to these types of medical intervention. In these cases, the patient often requires surgery to stop the bleeding and inhibit swelling. One surgical option for edema of the brain is a decompressive craniectomy. This procedure entails the removal of part of the skull, which allows the brain to swell without increasing pressure. Alternatively, depending on the source of the edema, surgeons may be able to surgically repair the cause of the swelling. Other strategies include the insertion of a plastic drainage tube, which may remove the buildup of cerebrospinal fluid that causes certain edemas.

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