True hemicranial decompression for severe pediatric cranial trauma: a short series of 4 cases and literature review - PubMed (original) (raw)
Case Reports
. 2006 Sep;66(3):305-10; discussion 310.
doi: 10.1016/j.surneu.2005.12.035.
Affiliations
- PMID: 16935641
- DOI: 10.1016/j.surneu.2005.12.035
Case Reports
True hemicranial decompression for severe pediatric cranial trauma: a short series of 4 cases and literature review
Kanchan Kumar Mukherjee et al. Surg Neurol. 2006 Sep.
Abstract
Background: Traumatic acute SDH in pediatric patients is a life-threatening situation. There is a severe increase in ICP caused by acute SDH or diffuse brain swelling or secondary to ischemic brain damage. In certain situations, conventional measures may fail to control such a rapid increase in ICP.
Case description: The cases of 4 pediatric patients with cranial trauma with raised ICP, in whom hemicranial decompression was performed, are described. All patients had acute SDH with diffuse brain injury; in addition, 2 of them had associated massive infarcts. Three of them survived and had a favorable outcome.
Conclusions: In certain situations, pediatric patients with cranial trauma may be offered hemicranial decompression as a surgical option. These children may have a better long-term outcome despite massive infarcts.