RCT | Craniotomy and decompressive craniectomy yield comparable outcomes in acute subdural hematoma

Decompressive Craniectomy versus Craniotomy for Acute Subdural Hematoma – New England Journal of Medicine (link to abstract – $ for full-text)

News Release: International study recommends replacing skull section after treatment for a brain bleed – University of Cambridge

Commentary on Twitter

Presented at #AANS2023: In an international trial involving 450 patients with acute subdural hematoma, craniotomy (replacing bone flap) and decompressive craniectomy (removing bone flap) yielded similar disability results at 12 months. https://t.co/KoNebwQIsi#neurosurgery pic.twitter.com/t9E9YZeHyq

— NEJM (@NEJM) April 23, 2023