A decompressive craniectomy is a procedure that removes a piece of the skull to relieve high intracranial pressure and mass effect from swelling. Causes of increased pressure requiring craniectomy include trauma, stroke, hemorrhage, and infection. Once intracranial pressure has normalized and the patient has recovered, the bone is replaced in a delayed fashion, usually 1-3 months after the
... [Show full abstract] initial procedure. Well-designed studies favor the use of craniectomy for malignant swelling after a large stroke, but craniectomy in the setting of trauma remains controversial.