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. 2020 Dec 17;12(12):e12135. doi: 10.7759/cureus.12135

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