Decompressive craniectomy with massive intractable intraoperative cerebral edema: Utilization of silicone sheet for temporary scalp closure - Case report

Amir Ahmadian, Ali A. Baaj, Michael Garcia, Carolyn Carey, Luis Rodriguez, Bruce Storrs, Gerald F. Tuite

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

The authors present a case of extreme brain herniation encountered during decompressive craniectomy in a 21-month-old boy who suffered a trauma event that necessitated temporary scalp closure in which a sterile silicone sheet was placed. Although the clinical situation is usually expected to lead to brain death or severe disability, the patient's 3-year follow-up examination revealed a highly functional child with a good quality of life. The authors discuss the feasibility and advantages of temporary scalp expansion as a treatment option when extreme brain herniation is encountered during craniotomy.

Original languageEnglish (US)
Pages (from-to)195-199
Number of pages5
JournalJournal of Neurosurgery: Pediatrics
Volume10
Issue number3
DOIs
StatePublished - Sep 1 2012

Keywords

  • Cerebral edema
  • Cranioplasty
  • Decompressive craniectomy
  • Scalp closure
  • Silicone
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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