Decompressive craniectomy is used at JPNATC to treat severe traumatic brain injuries. Between January 2008 and November 2008, 24.1% of patients with severe head injuries underwent decompressive craniectomy. The indications for decompressive craniectomy at JPNATC include severe head injury with acute subdural hematoma, midline shift, and mass effect; intracerebral contusions with mass effect and midline shift; and diffuse axonal injury with effaced cisterns and intracranial pressure above 20 despite maximum medical therapy.

1. Decompressive Craniectomy Current status at JPNATC Dr Deepak Agrawal, Assistant Professor, Neurosurgery JPNATC,AIIMS New Delhi

2. Indications at JPNATC Severe HI (GCS≤8) with Acute SDH with MLS & ME Intracerebral contusions with ME & MLS DAI with effaced cisterns ICP> 20 inspite of maximum medical therapy

4. Our Data Jan 2008- Nov 2008 Severe HI- 708 DC 171 (24.1%)

5. Our Technique

16. THANKS