Comparison of Functional Outcome between Decompressive Craniectomy and Craniotomy Osteoplasty in Acute Spontaneous Supratentorial Intracerebral Hemorrhage: A Systematic Review and Meta Analysis
Wayan Niryana*, Putu Eka Mardhika, Nyoman Golden, Tjokorda GB Mahadewa and Sri MaliawanDepartment of Neurosurgery, Faculty of Medicine, Universitas Udayana, Sanglah Hospital, Bali, Indonesia
Corresponding Author Email: niryanawayan@gmail.com
Abstract: Introduction: Hemorrhagic stroke is currently the most common cause of disability and results in high mortality compared to ischemic stroke. Surgical technique for treating supratentorial spontaneous intracerebral hemorrhage are varied. There are two procedure that still controversial which are decompressive craniectomy and craniotomy osteoplasty. In this study, we performed meta analysis to compare functional outcome between two procedures in managing spontaneous supratentorial intracerebral hemorrhage. Method: We performed systematic electronic searching in PubMed database. We included all full-text study in Bahasa or English. Glasgow Outome Scale was used to compared functional outcome between these two procedures. Meta analysis was performed using software Review Manager 5.3. Result: We found five eligible articles that met our inclusion and exclusion criteria. We performed meta analysis with random effect model because of high heterogeneity between studies (I2 = 85%; X2 = 26.47). We found that pooled risk ratio between decompressive craniectomy and craniotomy osteoplasty on poor outcome was 1.12 (p = 0.30; 95% CI: 0.90 – 1.41). Conclusion: There is no superiority between both procedures regarding management of acute spontaneous supratentorial intracerebral hemorrhage.
Keywords: Craniotomy Osteoplasty; Decompressive Craniectomy; Glasgow Outcome Scale; Spontaneous Intracerebral Hematoma; Supratentorial Back to TOC