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Contusion and Diffuse Injury

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Acute Care Neurosurgery by Case Management

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Abstract

Diffuse traumatic brain injury describes a spectrum of pathologies, including cerebral contusions and diffuse axonal injury (DAI). Advanced imaging techniques are revealing the true prevalence of these injuries, showing that they are much more common than previously thought. While contusions and DAI don’t typically cause acute ICP elevations, they can cause delayed edema. After acute stabilization in the trauma bay, invasive ICP monitoring is often used in these patients. Mass lesions causing increased ICP are surgical candidates. However, decompressive craniectomy for increased ICP without a mass lesion is not indicated, as two large trials have failed to show a benefit.

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Authors and Affiliations

  1. Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA

    Anthony DiGiorgio & Geoffrey Manley

Authors
  1. Anthony DiGiorgio
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  2. Geoffrey Manley
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Correspondence to Anthony DiGiorgio .

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Editors and Affiliations

  1. Division of Neurosurgery, John H. Stroger Jr Hospital of Cook County, (formerly Cook County Hospital), Chicago, IL, USA

    P. B. Raksin

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DiGiorgio, A., Manley, G. (2022). Contusion and Diffuse Injury. In: Raksin, P.B. (eds) Acute Care Neurosurgery by Case Management. Springer, Cham. https://doi.org/10.1007/978-3-030-99512-6_3

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  • DOI: https://doi.org/10.1007/978-3-030-99512-6_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-99511-9

  • Online ISBN: 978-3-030-99512-6

  • eBook Packages: MedicineMedicine (R0)

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