The pooled evidence from three randomised controlled trials in Europe supports the retrospective observations that early ( within 48 hours ) application of decompressive craniectomy after " malignant " stroke may result in improved survival and functional outcome in patients under the age of 55, compared to conservative management alone.
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The RESCUE-ASDH study is a multi-centre, pragmatic, parallel group randomised trial that aims to compare the clinical and cost-effectiveness of decompressive craniectomy versus craniotomy for the management of adult head-injured patients undergoing evacuation of an acute subdural haematoma ( ASDH ).
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That's the goal Barone and Jimenez had in mind when they decided to take an old technique _ the strip craniectomy, in which a small piece of bone is removed from the skull to allow it to grow normally _ and married it to a newer technology, the endoscope.
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