Genetic and Morphological Evidence Implies Existence of Two Sympatric Species in Cyathopharynx furcifer (Teleostei: Cichlidae) from Lake Tanganyika
Decompressive craniectomy (DC) is applied for spaceoccupying lesions such as major ischemic stroke, cerebral sinus venous thrombosis (CSVT), aneurysmal subarachnoid hemorrhage, and traumatic brain injury. DC is performed to prevent intracranial pressure increase. Of the few published reports on DC in intracerebral hemorrhage (ICH), most of the reports focus on a combined treatment of hematoma evacuation plus DC. Reports on DC as the only treatment for ICH are scarce, and the surgical decompression in these cases was smaller than a standardized DC. The rationale for evacuation of ICH is to prevent the toxic effects of hematoma degradation and the mechanical complication of mass effect. Because DC beneficially addresses mass effect, because hematoma evacuation plus additional DC showed favorable outcomes in several patients, and because DC for ICH showed promising results in an animal study, we evaluated whether DC of sufficient size without clot evacuation is safe and feasible in patients with ICH.