Child's Nervous System

, Volume 23, Issue 11, pp 1331–1335 | Cite as

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

  • A. A. Figaji
  • A. G. Fieggen
  • S. J. I. Sandler
  • A. C. Argent
  • P. D. Le Roux
  • J. C. Peter
Case Report

Abstract

Case report

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.

Discussion

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 

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • A. A. Figaji
    • 1
  • A. G. Fieggen
    • 1
  • S. J. I. Sandler
    • 1
  • A. C. Argent
    • 2
  • P. D. Le Roux
    • 3
  • J. C. Peter
    • 1
  1. 1.Division of Neurosurgery, Red Cross Childrens Hospital, Institute for Child HealthUniversity of Cape TownCape TownSouth Africa
  2. 2.Division of Pediatric Critical Care, Red Cross Childrens Hospital, Institute for Child HealthUniversity of Cape TownCape TownSouth Africa
  3. 3.Department of Neurosurgery, The Hospital of the University of PennsylvaniaUniversity of PennsylvaniaPhiladelphiaUSA

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