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

TitleIntracranial pressure and cerebral oxygenation changes after decompressive craniectomy in a child with traumatic brain swelling.
Publication TypeJournal Article
Year of Publication2007
AuthorsFigaji AA, Fieggen AG, Sandler SJI, Argent AC, Le Roux PD, Peter JC
JournalChilds Nerv Syst
Volume23
Issue11
Pagination1331-5
Date Published2007 Nov
ISSN0256-7040
KeywordsBrain Edema, Brain Injuries, Cerebrum, Child, Preschool, Craniotomy, Decompression, Surgical, Functional Laterality, Humans, Hypoxia, Brain, Intracranial Hypertension, Male, Oxygen, Treatment Outcome
Abstract

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.

DOI10.1007/s00381-007-0388-4
Alternate JournalChilds Nerv Syst
PubMed ID17632729