Trephination mini-craniectomy for traumatic posterior fossa epidural hematomas in selected pediatric patients
| Autor: | Fen-chun Lin, Jian Lin, Chao-Guo You, Han-song Sheng, Nu Zhang, Mao-de Wang, Liang Yang |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Hematoma
Epidural Cranial Male medicine.medical_specialty Posterior fossa Less invasive Pediatrics 03 medical and health sciences 0302 clinical medicine Hematoma Trephining Humans Medicine Glasgow Coma Scale Orthopedics and Sports Medicine In patient Child Retrospective Studies lcsh:R5-920 business.industry 030208 emergency & critical care medicine Retrospective cohort study Surgical procedures medicine.disease Surgery Posterior fossa epidural hematoma Child Preschool Radiological weapon Female Original Article Trephination mini-craniectomy lcsh:Medicine (General) business 030217 neurology & neurosurgery |
| Zdroj: | Chinese Journal of Traumatology, Vol 20, Iss 4, Pp 212-215 (2017) Chinese Journal of Traumatology |
| ISSN: | 1008-1275 |
| DOI: | 10.1016/j.cjtee.2017.01.004 |
| Popis: | Purpose Posterior fossa epidural hematomas (PFEDH) are uncommon in children but usually require timely surgical intervention due to the risk of life-threatening brainstem compression. We attempt to make the surgical procedure less invasive by treating selected pediatric patients with trephination mini-craniectomy. Methods We retrospectively reviewed the clinical courses, radiological findings, surgical procedures, and prognoses of the pediatric patients who were treated in our departments for traumatic PFEDH from January 2010 to January 2015. Results During this period, a total of 17 patients were surgically treated for PFEDH and 7 were managed with trephination mini-craniectomy for hematoma evacuation. The outcomes were good in all 7 patients as evaluated with Glasgow Outcome Score. There was no mortality in this series. The on average 30-month clinical follow-up showed that patients experienced satisfactory recoveries without complications. Conclusion Our results suggest that trephination mini-craniectomy is a safe surgical technique for selected PFEDH patients with moderate hematoma volume and stabilized neurological functions. However, standard craniectomy is recommend when there are rapid deteriorations in patients' neurological functions or the hematomas are large and exerted severe mass effects. |
| Databáze: | OpenAIRE |
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