Pediatric neurosurgery
-
Pediatric neurosurgery · Jan 2013
Case ReportsHydrocephalus after decompressive craniotomy: a case series.
Post-craniectomy hydrocephalus in patients with intracranial hypertension is becoming a major concern for neurosurgeons because of the increasing number of hospital admissions for head trauma, stroke and other lesions which may lead to severe brain oedema requiring decompressive craniectomy. ⋯ Post-traumatic hydrocephalus is one of the rare complications of decompressive craniotomy; CSF diversion remains the only option for improvement in neurological status.
-
Pediatric neurosurgery · Jan 2013
In vivo analysis of cervical range of motion after revised C1-C2 pedicle screw technique for pediatric atlantoaxial instability.
The purpose of this study was to analyze the cervical range of motion (ROM) after revised C1-C2 pedicle screw fixation for pediatric patients with atlantoaxial instability. ⋯ As a short-segmental fixation technique, revised C1-C2 pedicle screw fixation can provide effective biomechanical stability. Final follow-up cervical ROM is significantly increased through alleviating cervical pain and symptoms of myelopathy after surgery and possible subaxial compensation.
-
Pediatric neurosurgery · Jan 2013
The surgical outcome of traumatic extra-axial hematomas causing brain herniation in children.
The aim of this study was to assess the surgical outcome and prognostic importance of clinical and radiological data from children operated on under emergency conditions due to an extra-axial hematoma causing brain herniation. ⋯ Brain herniation is a serious consequence of traumatic extra-axial hematomas in children, and approximately one third of these patients have the potential for a favorable outcome. We recommend postoperative ICP monitoring to predict outcome and early decompressive surgery when possible for promising results.
-
Pediatric neurosurgery · Jan 2013
Large-scale referencing of the telemetric neurovent-P-tel intracranial pressure sensor in a porcine model.
The Neurovent-P-tel sensor is a promising device for telemetric intracranial pressure (ICP) measurements in cases of complex hydrocephalus. Data on its accuracy within a broad ICP range are missing. We applied a porcine model for large-scale manipulation of the ICP values. ⋯ The mean difference between both measurement techniques was 0.4 mm Hg. The limits of agreement, where 95% of differences between both methods are expected, were from -2.4 to 3.1 mm Hg. The telemetric Neurovent-P-tel sensor system provides good accuracy within a broad range exceeding normal ICP values and might be useful in clinical practice.
-
Pediatric neurosurgery · Jan 2013
ReviewPediatric neurosurgery patients need more than a neurological surgeon: a clinical experience.
The Division of Pediatric Neurosurgery of the University of Florida College of Medicine Jacksonville initiated and developed a multidisciplinary comprehensive team for the management of patients with a neurosurgical condition other than spina bifida. This report relates the rationale and stages of development of a multidisciplinary team to facilitate the health care and special needs of these children.