Facial plast Surg 2015; 31(04): 325-331
DOI: 10.1055/s-0035-1562884
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Neurosurgical and Intensive Care Management of Traumatic Brain Injury

Martin Seule
1  Department of Neurosurgery, Kantonsspital St. Gallen, St. Gallen, Switzerland
,
Thomas Brunner
2  Surgical Intensive Care Unit, Kantonsspital St. Gallen, St. Gallen, Switzerland
,
Alexander Mack
1  Department of Neurosurgery, Kantonsspital St. Gallen, St. Gallen, Switzerland
,
Gerhard Hildebrandt
1  Department of Neurosurgery, Kantonsspital St. Gallen, St. Gallen, Switzerland
,
Jean-Yves Fournier
1  Department of Neurosurgery, Kantonsspital St. Gallen, St. Gallen, Switzerland
› Author Affiliations
Further Information

Publication History

Publication Date:
15 September 2015 (online)

Abstract

Optimal management of patients with traumatic brain injury (TBI) remains a challenge, despite significant improvements in pathophysiologic understanding and treatment strategies in recent decades. Because primary brain injury sustained at the time of trauma is irreversible, the TBI management mainly aims for early detection and treatment of secondary brain injury such as space-occupying intracerebral hematomas and brain edema. Prevention of secondary brain injury requires a high standard of care and understanding of both medical and surgical treatment modalities. This review focuses on practical recommendations for neurosurgical and intensive care management in patients with severe TBI.