Intracranial pressure and cerebral oxygenation changes after decompressive craniectomy in a child with traumatic brain swelling

Authors: Figaji, A.¹; Fieggen, A.²; Sandler, S.²; Argent, A.³; Le Roux, P.⁴; Peter, J.²

Source: Child's Nervous System, Volume 23, Number 11, November 2007 , pp. 1331-1335(5)

Publisher: Springer

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Abstract:

The authors present the case of a 5-year-old child with severe traumatic brain injury in whom decompressive hemicraniectomy was performed for progressive increased intracranial pressure (ICP) unresponsive to medical treatment. Data from ICP and cerebral tissue oxygenation monitoring in the contralateral hemisphere were recorded, which demonstrated the immediate and delayed mechanical and physiological changes occurring after bony and dural decompression.

The role of the procedure and that of the monitoring approach are discussed.

Keywords: Decompressive craniectomy; Cerebral tissue oxygenation; Raised intracranial pressure; Monitoring; Traumatic brain injury; Children

Document Type: Research article

DOI: http://dx.doi.org/10.1007/s00381-007-0388-4

Affiliations: 1: Division of Neurosurgery, Red Cross Childrens Hospital, Institute for Child Health, University of Cape Town, Klipfontein Road, Rondebosch, 7700, Cape Town, South Africa, Email: afigaji@ich.uct.ac.za 2: Division of Neurosurgery, Red Cross Childrens Hospital, Institute for Child Health, University of Cape Town, Klipfontein Road, Rondebosch, 7700, Cape Town, South Africa 3: Division of Pediatric Critical Care, Red Cross Childrens Hospital, Institute for Child Health, University of Cape Town, Klipfontein Road, Rondebosch, 7700, Cape Town, South Africa 4: Department of Neurosurgery, The Hospital of the University of Pennsylvania, University of Pennsylvania, 330 S. 9th Street, 4th floor, 3400 Spruce Street, Philadelphia, PA, 19107, USA

Publication date: 2007-11-01