| Autor: |
Vankipuram, Siddharth, Balasubramanium, Srikant, Tyagi, Devendra K., Savant, H. V. |
| Předmět: |
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| Zdroj: |
Journal of Pediatric Neurosciences; Jul-Sep2015, Vol. 10 Issue 3, p261-263, 3p |
| Abstrakt: |
Decompressive craniotomy (DC) is used to treat intracranial hypertension associated with traumatic brain injury. Early DC is associated with better outcomes. We present a neonate with a history of fall with computed tomography scan showing a large frontoparietal contusion and associated parietal and temporal bone fracture. This acted as a spontaneous DC causing bony segment to separate due to which the edematous brain could be accommodated. Despite the presence of a large contusion, the child was neurologically intact and medically managed. The neonate presented with a posttraumatic leptomeningeal cyst 2 months later, which had to be repaired surgically. We discuss how a linear undisplaced fracture acts as spontaneous DC and the role of early DC in improving outcomes. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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