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


CONCLUSIONS
The role of the procedure and that of the monitoring approach are discussed.
Figaji
A A
AA
Division of Neurosurgery, Red Cross Childrens Hospital, Institute for Child Health, University of Cape Town, Klipfontein Road, Rondebosch, 7700, Cape Town, South Africa. afigaji@ich.uct.ac.za
Fieggen
A G
AG
Sandler
S J I
SJ
Argent
A C
AC
Le Roux
P D
PD
Peter
J C
JC
D001929:Brain Edema / Q000209:etiology / Q000601:surgery*; D001930:Brain Injuries / Q000150:complications / Q000601:surgery*; D054022:Cerebrum / Q000293:injuries / Q000378:metabolism; D002675:Child, Preschool; D003399:Craniotomy / Q000379:methods*; D019299:Decompression, Surgical / Q000379:methods*; D007839:Functional Laterality; D006801:Humans; D002534:Hypoxia, Brain / Q000517:prevention & control*; D019586:Intracranial Hypertension / Q000209:etiology / Q000601:surgery*; D008297:Male; D010100:Oxygen / Q000378:metabolism; D016896:Treatment Outcome
D010100:Oxygen