Surgical Interventions

The presence of an intracranial mass lesion may require urgent neurosurgical attention. Surgical excision of an edematous lesion or increasing the size of the cranium via hemicraniectomy may reduce further formation of vasogenic edema and eliminate compression of normal brain parenchyma. Rebound edema formation may complicate the perioperative course. Careful control of ventilation and systemic arterial pressure, as well as preoperative administration of glucocorticoids, may minimize the detrimental effects of this complication.



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