Rescue Decompressive Craniectomy in Children with Severe Traumatic Brain Injury

Dimitrios Rallis; Panagiotis Poulos; Maria Kazantzi; Panagiotis Kalampalikis

doi:10.1055/s-0037-1603825

Journal of Pediatric Intensive Care, Table of Contents

J Pediatr Intensive Care 2018; 07(01): 033-038
DOI: 10.1055/s-0037-1603825

Original Article

Georg Thieme Verlag KG Stuttgart · New York

Rescue Decompressive Craniectomy in Children with Severe Traumatic Brain Injury

Authors

Dimitrios Rallis

¹Pediatric Intensive Care Unit, “Aghia Sophia” Children's Hospital, Athens, Greece
Panagiotis Poulos

¹Pediatric Intensive Care Unit, “Aghia Sophia” Children's Hospital, Athens, Greece
Maria Kazantzi

¹Pediatric Intensive Care Unit, “Aghia Sophia” Children's Hospital, Athens, Greece
Panagiotis Kalampalikis

¹Pediatric Intensive Care Unit, “Aghia Sophia” Children's Hospital, Athens, Greece

Abstract

Decompressive craniectomy (DC) is considered a rescue therapy in patients with traumatic brain injury (TBI) with increased intracranial pressure (ICP). In this retrospective study, we examined the impact of craniectomy on ICP in children with severe TBI and their neurological outcome. A total of 14 patients were enrolled. Peak ICP was significantly lower (31 ± 2.9 to 19 ± 4.6, p < 0.001) and minimum cerebral perfusion pressure (CPP) higher (41 ± 10.5 to 58 ± 11.4, p < 0.001) postcraniectomy. The survival rate was 71%. However, 57% of our cohort had a poor neurological outcome at 6 months postinjury. In conclusion, although rescue DC was effective in controlling ICP and CPP, the long-term neurological outcome remained poor.

Keywords

traumatic brain injury - pediatric - craniectomy

Full Text

References

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