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Craniectomy is a surgical procedure that involves the removal of a portion of the skull to relieve pressure on the brain. This procedure is typically performed in emergency situations to address conditions that cause significant brain swelling or increased intracranial pressure, such as traumatic brain injury, stroke, brain tumors, or severe infections. By removing part of the skull, the procedure creates additional space for the brain to expand, thereby reducing pressure and preventing further damage. During craniectomy, the surgeon makes an incision in the scalp and removes a section of the skull bone, which is often stored for possible reattachment later. The procedure may be performed as an emergency measure in critical care settings or as a planned intervention for specific conditions. In some cases, the removed portion of the skull is replaced in a subsequent surgery known as cranioplasty. Complications associated with craniectomy can include infection, bleeding, and cerebrospinal fluid leaks. The removal of part of the skull can also lead to neurological deficits, such as motor or sensory impairments, and may increase the risk of brain herniation, where brain tissue is displaced. Additionally, patients may experience post-surgical issues such as wound healing problems or seizures. Long-term, patients might face challenges related to the cosmetic appearance of the skull or require further surgeries for skull reconstruction. Despite these risks, craniectomy can be a life-saving procedure that provides critical relief in situations of severe brain injury or disease.
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