Decompressive craniectomy with massive intractable intraoperative cerebral edema: Utilization of silicone sheet for temporary scalp closure - Case report

Amir Ahmadian; Ali A. Baaj; Michael Garcia; Carolyn Carey; Luis Rodriguez; Bruce Storrs; Gerald F. Tuite

doi:10.3171/2012.6.PEDS11567

Decompressive craniectomy with massive intractable intraoperative cerebral edema: Utilization of silicone sheet for temporary scalp closure - Case report

Amir Ahmadian, Ali A. Baaj, Michael Garcia, Carolyn Carey, Luis Rodriguez, Bruce Storrs, Gerald F. Tuite

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	195-199
Number of pages	5
Journal	Journal of Neurosurgery: Pediatrics
Volume	10
Issue number	3
DOIs	https://doi.org/10.3171/2012.6.PEDS11567
State	Published - Sep 2012
Externally published	Yes

Keywords

Cerebral edema
Cranioplasty
Decompressive craniectomy
Scalp closure
Silicone
Trauma

ASJC Scopus subject areas

Surgery
Pediatrics, Perinatology, and Child Health
Clinical Neurology

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10.3171/2012.6.PEDS11567

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title = "Decompressive craniectomy with massive intractable intraoperative cerebral edema: Utilization of silicone sheet for temporary scalp closure - Case report",

abstract = "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.",

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AU - Ahmadian, Amir

AU - Baaj, Ali A.

AU - Garcia, Michael

AU - Carey, Carolyn

AU - Rodriguez, Luis

AU - Storrs, Bruce

AU - Tuite, Gerald F.

PY - 2012/9

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KW - Cranioplasty

KW - Decompressive craniectomy

KW - Scalp closure

KW - Silicone

KW - Trauma

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Decompressive craniectomy with massive intractable intraoperative cerebral edema: Utilization of silicone sheet for temporary scalp closure - Case report

Abstract

Keywords

ASJC Scopus subject areas

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