Abstract
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.
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Hieu, P.D., Sizun, J., Person, H. et al. The place of decompressive surgery in the treatment of uncontrollable post-traumatic intracranial hypertension in children. Child's Nerv Syst 12, 270–275 (1996). https://doi.org/10.1007/BF00261809
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DOI: https://doi.org/10.1007/BF00261809