Decompressive craniectomy with massive intractable intraoperative cerebral edema: utilization of silicone sheet for temporary scalp closure.
The authors present a case of extreme brain herniation encountered during decompressive craniectomy in a 21-month-old boy who suffered a trauma event that necessitated temporary scalp closure in which a sterile silicone sheet was placed. Although the clinical situation is usually expected to lead to brain death or severe disability, the patient's 3-year follow-up examination revealed a highly functional child with a good quality of life. The authors discuss the feasibility and advantages of temporary scalp expansion as a treatment option when extreme brain herniation is encountered during craniotomy.
Department of Neurosurgery, University of South Florida, Tampa, FL, USA.
Amir
A
Ahmadian
Ali A
AA
Baa J
Michael
M
Garcia
Carolyn
C
Carey
Luis
L
Rodriguez
Bruce
B
Storrs
Gerald F
GF
Tuite
D001672:Biocompatible Materials / Q000627:therapeutic use; D001929:Brain Edema / Q000209:etiology*; D006259:Craniocerebral Trauma / Q000601:surgery*; D056424:Decompressive Craniectomy / Q000009:adverse effects*; D004677:Encephalocele / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007223:Infant; D008297:Male; D012535:Scalp / Q000601:surgery*; D012828:Silicones / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D001672:Biocompatible Materials; D012828:Silicones