title: Paradoxical Herniation following Decompressive Craniectomy in the Subacute Setting.
abstract: Decompressive craniectomy is reserved for extreme cases of intracranial hypertension. An uncommon complication known as paradoxical herniation has been documented within weeks to months following surgery. Here we present a unique case within days of surgery. Since standard medical treatment for intracranial hypertension will exacerbate paradoxical herniation, any abrupt neurological changes following decompressive craniectomy should be carefully investigated. Immediate treatment for paradoxical herniation is placement of the patient in the supine position with adequate hydration. Cranioplasty is the ultimate treatment option.
authors.affiliation: Department of Surgery, Division of Neurosurgery, Southern Illinois University School of Medicine, P.O. Box 19645, Springfield, IL 62794-9645, USA.
authors.forename: Alex P
authors.identifier: 0000-0003-4704-7722
authors.initials: AP
authors.lastname: Michael
authors.affiliation: Department of Surgery, Division of Neurosurgery, Southern Illinois University School of Medicine, P.O. Box 19645, Springfield, IL 62794-9645, USA.
authors.forename: Jose
authors.initials: J
authors.lastname: Espinosa