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

作者：Ahmadian Amir; Baaj Ali A; Garcia Michael; Carey Carolyn; Rodriguez Luis; Storrs Bruce; Tuite Gerald F^*

来源：Journal of Neurosurgery-Pediatrics, 2012, 10(3): 195-199.

DOI：10.3171/2012.6.PEDS11567

• decompressive craniectomy
• cranioplasty
• cerebral edema
• scalp closure
• silicone
• trauma

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%26apos;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. (http://thejns.org/doi/abs/10.3171/2012.6.PEDS11567)

• 出版日期2012-9