Long-term functional outcomes after unilateral versus bilateral decompressive craniectomy—a single center experience - Takeaways - MDSpire

Long-term functional outcomes after unilateral versus bilateral decompressive craniectomy—a single center experience

  • By

  • D. Baldaranov

  • Ch. Großmann

  • K. Stangl

  • M. Kilic

  • S. Grubwinkler

  • R. A. Linker

  • F. Schlachetzki

  • July 3, 2026

  • 0 min

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  • 1

    The study analyzed long-term outcomes of unilateral versus bilateral decompressive craniectomy in 50 patients from 2000 to 2018.

  • 2

    Favorable outcomes were observed in 36% of unilateral decompressive craniectomy patients compared to 16% in bilateral patients.

  • 3

    Unilateral decompressive craniectomy patients had significantly better Early Rehabilitation Barthel Index scores at discharge and follow-up.

  • 4

    Bilateral decompressive craniectomy patients experienced more neurological complications, correlating with poorer functional outcomes.

  • 5

    The findings suggest that bilateral decompressive craniectomy is associated with higher complication rates and worse functional outcomes.

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