Table 2. Studies on decompressive craniectomy with CVST (a minimum of 10 patients and those who were followed up were included).
GCS: Glasgow Coma Scale; CVST: cerebral venous and dural sinus thrombosis; DC: decompressive craniectomy
Author and year of publication | Design | Study period | Country | Number of patients who underwent DC | Indication for DC | Mean follow-up duration (months) | Result | Comments |
Lath et al. 2010 [5] | Retrospective single-centre | 2003 - 2009 | India | 11 | Clinical deterioration and herniation syndrome | 6 | 8 patients had a favourable outcome, and 3 patients died. | Recommended DC |
Mohindra et al. 2011 [20] | Retrospective single-centre | 2004 - 2009 | India | 13 | Malignant CVST | 39 | All patients had a favourable outcome. | Recommended DC |
Ferro et al. 2011 [45] | Systematic review multi-centre registry | 1998 - 2010 | multiple | 45 | Poor GCS and significant hemispheric lesion | 14.5 | 39 patients had a favourable outcome, and 11 patients died | Recommended DC |
Vivakaran et al. 2012 [22] | Retrospective single-centre study | 2006 - 2008 | India | 34 | Clinical deterioration, herniation syndrome | 11.7 | 14 patients had a favourable outcome, and 4 patients died | Recommended DC |
Zuurbier et al. 2012 [18] | Prospective single-centre | 2006 - 2010 | Netherlands | 10 | Poor GCS and expanding hemorrhagic infarct | 12 | 7 patients had a favourable outcome, 1 was severely disabled, and 2 died. | Recommended DC |
Aaron et al. 2013 [21] | Retrospective single-centre study | 2002 - 2011 | India | 44 | The volume of lesion and midline shift | 25.5 | 27 patients had a favourable outcome, 9 patients died, and 3 lost to follow-up. | Recommended DC |
Soyer et al. 2016 [44] | Retrospective single-centre study | 2002 - 2005 | France | 16 | Clinical deterioration | 28 | 5 patients died. | For a similar CVST severity, craniectomy did not improve the outcome. |
Zhang et al. 2017 [24] | Retrospective single-centre | 2005 - 2015 | China | 58 | Clinical deterioration and herniation syndrome | 6 | 33 patients had a favourable outcome, and 8 died. | Recommended DC |
Venkateswaran et al. 2018 [13] | Prospective cohort study | 2005 - 2015 | India | 17 | Clinical deterioration and midline shift | 18.6 | 14 patients had a favourable outcome, 1 patient died, and 2 lost to follow-up. | Improvement in regional cerebral oxygen saturation with DC |