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Acta Neurochirurgica

Erschienen in:

01.05.2012 | Clinical Article

Complications of delayed cranial repair after decompressive craniectomy in children less than 1 year old

verfasst von: Paolo Frassanito, Luca Massimi, Massimo Caldarelli, Gianpiero Tamburrini, Concezio Di Rocco

Erschienen in: Acta Neurochirurgica | Ausgabe 5/2012

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Summary

Background

Decompressive craniectomy is an effective treatment option in case of refractory intracranial hypertension after severe head injury. The incidence of complications following cranial repair after decompressive craniectomy for traumatic brain injury is not negligible, particularly in infants and young toddlers. However, only a few dedicated papers can be found in the literature.

Method

We describe the complications observed in two boys and one girl under 1 year of age that were treated in the last decade by hemicranial decompressive craniotomy and enlarging hemispheric duraplasty, and subsequent cranial repair by means of autologous bone-flap replacement.

Findings

Despite good clinical and neurological outcome, the postoperative clinical course was complicated in all cases by early or late evidence of subdural fluid collections associated to the occurrence of hydrocephalus and causing recurrent dislocation and progressive resorption of the autologous bone flap.

Conclusions

Infants less than 1 year old, undergoing decompressive craniectomy after traumatic brain injury, experience a high rate of complications following subsequent cranial repair. Subdural collections and resorption of the autologous bone flap are to be considered as extremely common complications.

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Titel: Complications of delayed cranial repair after decompressive craniectomy in children less than 1 year old
verfasst von: Paolo Frassanito
Luca Massimi
Massimo Caldarelli
Gianpiero Tamburrini
Concezio Di Rocco
Publikationsdatum: 01.05.2012
Verlag: Springer Vienna
Erschienen in: Acta Neurochirurgica / Ausgabe 5/2012
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-011-1253-5

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Complications of delayed cranial repair after decompressive craniectomy in children less than 1 year old

Summary

Background

Method

Findings

Conclusions

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Background

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Conclusions

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