Surgical management and functional outcomes of cranial infections requiring craniotomy or craniectomy: a retrospective cohort study - Summary - MDSpire

Surgical management and functional outcomes of cranial infections requiring craniotomy or craniectomy: a retrospective cohort study

  • By

  • Daniel W. Griepp

  • Shivum Desai

  • Heather Heitkotter

  • Rabia Ahmed

  • Avery Roe

  • Bryce K. Sarcar

  • Ishan Perera

  • Joshua Caskey

  • Jeffrey P. Turnbull

  • Julio Rosado Philippi

  • Elise J. Yoon

  • Ammar Alsalahi

  • James Dragonette

  • Anna T. K. Griepp

  • Clifford M. Houseman

  • Prashant Kelkar

  • Chad F. Claus

  • Boyd F. Richards

  • Daniel A. Carr

  • June 22, 2026

  • 0 min

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Objective:

To describe the institutional experience with the surgical management of non-catheter-related cranial infections requiring craniotomy or craniectomy, including patient characteristics, microbiology, perioperative practices, and functional outcomes.

Approach:
    Key Findings:
    • Poor outcomes (mRS 4–6 or ≥3 revision surgeries) occurred in 13 patients (34.2%) and were associated with higher Charlson Comorbidity Index (p < 0.02) and underlying high-grade glioma or metastatic disease (p = 0.04).
    Interpretation:

    Limitations:
    • The sample size is relatively small, which may limit the generalizability of the findings.
    Conclusion:

    This institutional series highlights the complexities of managing cranial infections and the impact of pre-existing conditions on outcomes.

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