Document Type : Review Article


1 University of Cartagena, Colombia.

2 Department of Neurosurgery, University of Cartagena, Colombia.


Intracranial hypertension is the largest cause of death in young patients with severe traumatic brain injury. Decompressive craniectomy is part of the second level measures for the management of increased intracranial pressure refractory to medical management as moderate hypothermia and barbiturate coma. The literature lack of concepts is their indications. We present a review on the state of the art.