The place of decompressive surgery in the treatment of uncontrollable post traumatic intracranial hypertension in children

被引：5

作者：

Hieu, PD ^{[1
]}

Sizun, J ^{[1
]}

Person, H ^{[1
]}

Besson, G ^{[1
]}

机构：

[1] CHU A MORVAN, DEPT PAEDIAT INTENS CARE, BREST, FRANCE

来源：

CHILDS NERVOUS SYSTEM | 1996年 / 12卷 / 05期

关键词：

D O I：

暂无

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The authors report two cases of post-traumatic uncontrollable intracranial hypertension in children (120 torr in case 1; 90 torr in case 2) who were treated within the first 12 h after trauma by surgery including decompressive craniectomy. The outcome was favourable in both children. Intracranial pressure (ICP) was recorded during the pre-, intra- and postoperative periods and during each specific step of the surgical procedure. Craniectomy alone induced a decrease in ICP of 45% (40 torr) in case 1 and 30% (35 torr) in case 2. Although this method remains controversial, given the lack of controlled trials, it can offer a salvage procedure in children with rapidly worsening intracranial. hypertension, allowing survival without disabling neurological sequelae.

引用

页码：270 / 275

页数：6

共 24 条

[11]

JOURDAN C, 1993, NEUROCHIRURGIE, V39, P304

[12]

KIRKHAM FJ, 1986, DEV MED CHILD NEUROL, V28, P506

[13] BIFRONTAL DECOMPRESSIVE CRANIOTOMY FOR MASSIVE CEREBRAL EDEMA [J].