• Surg Neurol · Sep 2006

    Case Reports

    True hemicranial decompression for severe pediatric cranial trauma: a short series of 4 cases and literature review.

    • Kanchan Kumar Mukherjee, Sandeep Mohindra, Sunil Kumar Gupta, Rahul Gupta, and Virender Kumar Khosla.
    • Depatrment of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigash, India.
    • Surg Neurol. 2006 Sep 1;66(3):305-10; discussion 310.

    BackgroundTraumatic 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 DescriptionThe 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.ConclusionsIn 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.

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