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Hinge and floating decompressive craniotomy for infantile acute subdural hematoma: technical note

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Abstract

Cranioplasty complications after decompressive craniectomy (DC) in infants are not fully recognized. We aimed to devise and assess the efficacy of a hinge and floating DC (HFDC) technique for treating infantile acute subdural hematoma. Five infants, aged 2–20 months, were included. Intracranial pressure was controlled below 20 mmHg, no additional surgery was required, and there was no incidence of surgical site infection or bone graft resorption.

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Authors and Affiliations

  1. Department of Neurosurgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, Japan

    Young-Soo Park, Takahide Haku, Tae Kyun Kim, Hiroshi Yokota, Ichiro Nakagawa, Yasushi Motoyama & Hiroyuki Nakase

  2. Division of Neurosurgery, Children’s Medical Center, Nara Medical University Hospital, 840 Shijo-cho, Kashihara, Nara, Japan

    Young-Soo Park

  3. Department of Emergency and Critical Care Medicine, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, Japan

    Yohei Kogeichi

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  1. Young-Soo Park
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  2. Yohei Kogeichi
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  3. Takahide Haku
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  4. Tae Kyun Kim
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  5. Hiroshi Yokota
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  6. Ichiro Nakagawa
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  7. Yasushi Motoyama
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  8. Hiroyuki Nakase
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Correspondence to Young-Soo Park.

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The authors have no conflicts of interest to declare.

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Informed consent to participate was obtained from the parents or legal guardians of all infant subjects enrolled in this study.

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Park, YS., Kogeichi, Y., Haku, T. et al. Hinge and floating decompressive craniotomy for infantile acute subdural hematoma: technical note. Childs Nerv Syst 37, 295–298 (2021). https://doi.org/10.1007/s00381-020-04942-7

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  • DOI: https://doi.org/10.1007/s00381-020-04942-7

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