Internal cranial expansion procedure for the treatment of symptomatic intracranial hypertension.
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.
Hankinson
Todd C
TC
Department of Neurosurgery, Columbia University, College of Physicians and Surgeons, New York, New York 10032, USA. tch12@columbia.edu
Mocco
J
J
Kimball
Brent
B
Anderson
Richard C E
RC
Feldstein
Neil A
NA
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*