Treatment for severe craniocerebral trauma combined with transtentorial hernia in children.
OBJECTIVE
To explore the treating method for severe craniocerebral trauma combined with transtentorial hernia in children.


METHODS
We treated 58 children with severe craniocerebral trauma combined with transtentorial hernia through evacuating the hematomas, incising the tentorium but preserving the floating bone flap between January 1996 and January 2002.


RESULTS
GCS was 3-5 in 17 cases and 6-8 in 41 cases. After treatment, 46 patients (79.30%) recovered well, 6 (10.30%) suffered from mild disability, 1 (1.72%) suffered from severe disability, 1 (1.72%) was in vegetative state, and 4 (6.90%) died.


CONCLUSIONS
Evacuating hematomas and incising tentorium can effectively treat the child patients with severe craniocerebral trauma combined with transtentorial hernia, which can decrease the disability and mortality rates greatly, preserve the skull, exempt reoperation for cranioplasty and relieve the psychologic and physiologic burden of the child patients.
Liang
Yi-Hu
YH
Department of Neurosurgery, People's Hospital of Gaozhou City, Gaozhou 525200, Guangdong Province, China. liangyihu@163.net
Mai
Jie-Wen
JW
Li
Lin-Fan
LF
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019299:Decompression, Surgical; D004677:Encephalocele / Q000150:complications*; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D007223:Infant; D008297:Male; D014057:Tomography, X-Ray Computed