Decompressive craniectomy as a surgical procedure to relieve raised hypertension has been performed in the early 20^th century. However even after a century and despite numerous studies in this regard, the decision to conduct decompressive craniectomy still remains a dilemma. In our case report we discuss two cases of traumatic brain injury where the surgical team was faced with the challenge of performing the surgery in a peripheral hospital with a favorable post-operative outcome.

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Dr (Col) Gurmeet Singh Sarla

Classified Specialist Surgery, Military hospital Devlali,

Devlali Cantt, Nasik, Maharashtra, Pin 422401

Phone 9882562223