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However, the size of the DC remains unspecified. The aim of this study was to analyze size related complications following DC.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Between 2013 and 2019, 306 patients underwent DC for elevated intracranial pressure at author\u00b4s institution. Anteroposterior and craniocaudal DC size was measured according to the postoperative CT scans. Patients were divided into two groups with (1) exposed superior sagittal sinus (SE) and (2) without superior sagittal sinus exposure (SC). DC related complications e.g. shear-bleeding at the margins of craniectomy and secondary hydrocephalus were evaluated and compared.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Craniectomy size according to anteroposterior diameter and surface was larger in the SE group; 14.1\u2009\u00b1\u20091\u00a0cm vs. 13.7\u2009\u00b1\u20091.2\u00a0cm, <jats:italic>p<\/jats:italic>\u2009=\u20090.003, resp. 222.5\u2009\u00b1\u200940 cm<jats:sup>2<\/jats:sup> vs. 182.7\u2009\u00b1\u200936.9 cm<jats:sup>2<\/jats:sup>, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001. The SE group had significantly lower rates of shear-bleeding: 20\/176 patients; (11%), compared to patients of the SC group; 36\/130 patients (27%), <jats:italic>p<\/jats:italic>\u2009=\u20090.0003, OR 2.9, 95% CI 1.6\u20135.5.<\/jats:p>\n                <jats:p>There was no significant difference in the incidence of shunt-dependent hydrocephalus; 19\/130 patients (14.6%) vs. 24\/176 patients (13.6%), <jats:italic>p<\/jats:italic>\u2009=\u20090.9.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Complete hemispheric exposure in terms of DC with SE was associated with significantly lower levels of iatrogenic shear-bleedings compared to a SC-surgical regime. Although we did not find significant outcome difference, our findings suggest aggressive craniectomy regimes including SE to constitute the surgical treatment strategy of choice for malignant intracranial pressure.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00068-021-01789-8","type":"journal-article","created":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T01:47:16Z","timestamp":1633398436000},"page":"2449-2457","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Complete hemispheric exposure vs. superior sagittal sinus sparing craniectomy: incidence of shear-bleeding and shunt-dependency"],"prefix":"10.1007","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1794-0387","authenticated-orcid":false,"given":"Martin","family":"Vychopen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valeri","family":"Borger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Schuss","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Behning","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hartmut","family":"Vatter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erdem","family":"G\u00fcresir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,10,4]]},"reference":[{"key":"1789_CR1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.107.485235","author":"K Vahedi","year":"2007","unstructured":"Vahedi K, Vicaut E, Mateo J, Kurtz A, Orabi M, Guichard JP, Boutron C, Couvreur G, Rouanet F, Touz\u00e9 E, Guillon B, Carpentier A, Yelnik A, George B, Payen D, Bousser MG. 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