Decompressive craniectomy for traumatic intracranial hypertension: application in children

Childs Nerv Syst. 2017 Oct;33(10):1745-1750. doi: 10.1007/s00381-017-3534-7. Epub 2017 Sep 6.

Abstract

Traumatic brain injury remains prevalent in children, particularly within the adolescent age group. In severe injury, the priority of treatment is to stabilise the patient initially and prevent the evolution of brain swelling and secondary ischaemia using tiers of medical therapy. The final stage of intervention for such patients is a decompressive craniectomy. Here in, we identify the current evidence for performing decompressive crainectomy in children including the results from the RESCUEicp study.

Keywords: Brain; Craniectomy; Decompression; Injury; Paediatric.

Publication types

  • Review

MeSH terms

  • Brain Injuries, Traumatic / complications
  • Child
  • Child, Preschool
  • Decompressive Craniectomy / methods*
  • Humans
  • Intracranial Hypertension / etiology
  • Intracranial Hypertension / surgery*
  • Pediatrics