title: Treatment for severe craniocerebral trauma combined with transtentorial hernia in children.
abstract: 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.
authors.affiliation: Department of Neurosurgery, People's Hospital of Gaozhou City, Gaozhou 525200, Guangdong Province, China. liangyihu@163.net
authors.forename: Yi-Hu
authors.initials: YH
authors.lastname: Liang
authors.forename: Jie-Wen
authors.initials: JW
authors.lastname: Mai
authors.forename: Lin-Fan
authors.initials: LF
authors.lastname: Li
mesh_terms: 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