Intracranial pressure and cerebral oxygenation changes after decompressive craniectomy in a child with traumatic brain swelling

被引：16

作者：

Figaji, A. A.

Fieggen, A. G.

Sandler, S. J. I.

Argent, A. C.

Le Roux, P. D.

Peter, J. C.

机构：

[1] Univ Cape Town, Red Cross Childrens Hosp, Div Neurosurg, Inst Child Hlth, ZA-7700 Cape Town, South Africa

[2] Univ Cape Town, Red Cross Childrens Hosp, Div Pediat Crit Care, Inst Child Hlth, ZA-7700 Cape Town, South Africa

[3] Univ Penn, Hosp Univ Penn, Dept Neurosurg, Philadelphia, PA 19107 USA

来源：

CHILDS NERVOUS SYSTEM | 2007年 / 23卷 / 11期

关键词：

decompressive craniectomy; cerebral tissue oxygenation; raised intracranial pressure; monitoring; traumatic brain injury; children;

D O I：

10.1007/s00381-007-0388-4

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Case report The authors present the case of a 5-year-old child with severe traumatic brain injury in whom decompressive hemicraniectomy was performed for progressive increased intracranial pressure (ICP) unresponsive to medical treatment. Data from ICP and cerebral tissue oxygenation monitoring in the contralateral hemisphere were recorded, which demonstrated the immediate and delayed mechanical and physiological changes occurring after bony and dural decompression. Discussion The role of the procedure and that of the monitoring approach are discussed.

引用

页码：1331 / 1335

页数：5

共 21 条

[1]

Outcome following decompressive craniectomy for malignant swelling due to severe head injury [J].

Aarabi, B ;

Hesdorffer, DC ;

Ahn, ES ;

Aresco, C ;

Scalea, TA ;

Eisenberg, HM .

JOURNAL OF NEUROSURGERY, 2006, 104 (04) :469-479

[2]

FAILURE OF CIRCUMFERENTIAL CRANIOTOMY IN ACUTE TRAUMATIC CEREBRAL SWELLING [J].

CLARK, K ;

NASH, TM ;

HUTCHISON, GC .

JOURNAL OF NEUROSURGERY, 1968, 29 (04) :367-+

[3]

Cooper P R, 1976, Surg Neurol, V5, P25

[4]

Safety and feasibility of craniectomy with duraplasty as the initial surgical intervention for severe traumatic brain injury [J].

Coplin, WM ;

Cullen, NK ;

Policherla, PN ;

Vinas, FC ;

Wilseck, JM ;

Zafonte, RD ;

Rengachary, SS .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2001, 50 (06) :1050-1059

[5]

Figaji AA, 2006, SAMJ S AFR MED J, V96, P969

[6]

Early decompressive craniotomy in children with severe traumatic brain injury [J].

Figaji, AA ;

Fieggen, AG ;

Peter, JC .

CHILDS NERVOUS SYSTEM, 2003, 19 (09) :666-673

[7]

ISCHEMIC BRAIN-DAMAGE IS STILL COMMON IN FATAL NON-MISSILE HEAD-INJURY [J].

GRAHAM, DI ;

FORD, I ;

ADAMS, JH ;

DOYLE, D ;

TEASDALE, GM ;

LAWRENCE, AE ;

MCLELLAN, DR .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1989, 52 (03) :346-350

[8]

Effects of decompressive craniectomy on brain tissue oxygen in patients with intracranial hypertension [J].

Jaeger, M ;

Soehle, M ;

Meixensberger, J .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2003, 74 (04) :513-515

[9]

Severe pediatric head injury: Myth, magic, and actual fact [J].

Johnson, DL ;

Krishnamurthy, S .

PEDIATRIC NEUROSURGERY, 1998, 28 (04) :167-172

[10]

Early decompressive craniectomy may be effective in the treatment of refractory intracranial hypertension after traumatic brain injury [J].

Josan, V. A. ;

Sgouros, S. .

CHILDS NERVOUS SYSTEM, 2006, 22 (10) :1268-1274

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