Journal of Pediatric Neurology
DOI: 10.1055/s-0041-1725983
Case Report

Acute Paradoxical Herniation: A Case Report

Vanessa Denny
1  Department of Pediatrics, Morristown Medical Center, Morristown, New Jersey, United States
,
Davina Shalev
1  Department of Pediatrics, Morristown Medical Center, Morristown, New Jersey, United States
2  Department of Pediatric Neurosurgery, Morristown Medical Center, Morristown, New Jersey, United States
,
Jahannaz Dastgir
1  Department of Pediatrics, Morristown Medical Center, Morristown, New Jersey, United States
,
Erin Johnson
1  Department of Pediatrics, Morristown Medical Center, Morristown, New Jersey, United States
,
Maria Escobar
1  Department of Pediatrics, Morristown Medical Center, Morristown, New Jersey, United States
,
Ma Bernardita Gamallo
1  Department of Pediatrics, Morristown Medical Center, Morristown, New Jersey, United States
,
Peter Wynne
3  Department of Radiology, Morristown Medical Center, Morristown, New Jersey, United States
,
Arno Fried
1  Department of Pediatrics, Morristown Medical Center, Morristown, New Jersey, United States
2  Department of Pediatric Neurosurgery, Morristown Medical Center, Morristown, New Jersey, United States
› Institutsangaben
Funding None.

Abstract

Decompressive craniectomy is used to relieve acute increased intracranial pressure (ICP) when medical therapy has failed. Paradoxical herniation is a rare complication that occurs when the pressure of the intracranial contents falls abnormally below the atmospheric pressure. Symptoms often include neurological deficits, the etiology of which is often mistaken for elevated ICP. This diagnosis requires quick recognition, and treatment requires a change from ICP reduction therapies to those that increase the ICP, and ultimately cranioplasty.



Publikationsverlauf

Eingereicht: 14. Dezember 2020

Angenommen: 28. Januar 2021

Publikationsdatum:
16. März 2021 (online)

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