• J. Child Neurol. · Aug 2008

    Case Reports

    Decompressive hemicraniectomy in children with severe ischemic stroke and life-threatening cerebral edema.

    • Vijay Ramaswamy, Vivek Mehta, Mary Bauman, Lawrence Richer, Patti Massicotte, and Jerome Y Yager.
    • Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
    • J. Child Neurol. 2008 Aug 1;23(8):889-94.

    AbstractDecompressive hemicraniectomy has been discussed as a treatment option that increases survival in adults with malignant stroke. This approach has not been studied extensively in children. From a prospective cohort, we identified 4 children who underwent decompressive hemicraniectomy for malignant infarctions with life-threatening cerebral edema within 72 hours of their stroke. All 4 children had different causes for their stroke and experienced severe cerebral edema with increasing intracranial pressure and an impending fatal outcome. Despite massive cerebral infarction, all patients were ambulant and able to speak at the time of follow-up. Although a limited experience, decompressive hemicraniectomy is a life-saving approach for malignant stroke in children.

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