title: Internal cranial expansion procedure for the treatment of symptomatic intracranial hypertension.
abstract: The authors describe the internal cranial expansion (ICE) procedure, a surgical technique that was used to treat two chronically shunt-treated children who presented with medically and surgically refractory intracranial hypertension despite the presence of functioning cerebrospinal fluid shunt systems. The ICE procedure was used as a means to increase intracranial volume without sacrificing calvarial rigidity. Intracranial volume was increased by 5% in one case and 10% in the other. Both patients have returned to their neurological and functional baselines, and they are free of symptoms related to intracranial hypertension.
authors.affiliation: Department of Neurosurgery, Columbia University, College of Physicians and Surgeons, New York, New York 10032, USA. tch12@columbia.edu
authors.forename: Todd C
authors.initials: TC
authors.lastname: Hankinson
authors.forename: J
authors.initials: J
authors.lastname: Mocco
authors.forename: Brent
authors.initials: B
authors.lastname: Kimball
authors.forename: Richard C E
authors.initials: RC
authors.lastname: Anderson
authors.forename: Neil A
authors.initials: NA
authors.lastname: Feldstein
mesh_terms: D000293:Adolescent; D002557:Cerebrospinal Fluid Shunts; D002648:Child; D003399:Craniotomy / Q000379:methods*; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D019586:Intracranial Hypertension / Q000209:etiology / Q000473:pathology / Q000601:surgery*