Decompressive Hemicraniectomy and Duroplasty in Toddlers and Preschool Children with Refractory Intracranial Hypertension after Unilateral Hemispheric Stroke
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, Sang-Kook | - |
dc.contributor.author | Kim, Sang-Dae | - |
dc.contributor.author | Kim, Se-Hoon | - |
dc.contributor.author | Lim, Dong-Jun | - |
dc.contributor.author | Park, Jung-Yul | - |
dc.date.accessioned | 2021-09-06T10:27:25Z | - |
dc.date.available | 2021-09-06T10:27:25Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2012-02 | - |
dc.identifier.issn | 2005-3711 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/106125 | - |
dc.description.abstract | Objective : Life-threatening hemispheric stroke is associated with a high mortality and morbidity. Decompressive hemicraniectomy has been regarded as an effective treatment option for refractory intracranial hypertension. Here, we reported the clinical course of 5 children with decompressive craniectomy and duroplasty after non-traumatic refractory intracranial hypertension. Methods : Four toddlers and one preschool-girl were included in this study; there were 3 boys and 2 girls with a mean age of 34.6 months (range 17-80). Decompressive craniectomy including duroplasty was performed in cases of dilatation of pupil size after intensified standard medical therapy had proven insufficient. All children had a Pediatric Glasgow Coma Scale score <8 at pre-operation state. The mean time-point of craniectomy after stroke attack was 12 hours (range 4-19). Results : During the long-term follow-up period (mean 47.6 months), no children died. One year later, when we checked their Glasgow Outcome Scale scores, only one toddler received a score of 4 (moderate disability). But the others had good recoveries although they had minor physical or mental deficits. According to the Pediatric Cerebral Performance Category Scale, 4 children received a score of 2 (mild disability). Conclusion : Despite our small cases, we suggest that decompressive hemicraniectomy and duroplasty is an acceptable and life-saving treatment for refractory intracranial hypertension after unilateral hemispheric stroke in toddlers and preschool children. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | KOREAN NEUROSURGICAL SOC | - |
dc.subject | MIDDLE CEREBRAL-ARTERY | - |
dc.subject | TERRITORY INFARCTION | - |
dc.subject | ISCHEMIC-STROKE | - |
dc.subject | CRANIECTOMY | - |
dc.subject | SURGERY | - |
dc.subject | PRESSURE | - |
dc.subject | TRIAL | - |
dc.title | Decompressive Hemicraniectomy and Duroplasty in Toddlers and Preschool Children with Refractory Intracranial Hypertension after Unilateral Hemispheric Stroke | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Sang-Dae | - |
dc.contributor.affiliatedAuthor | Kim, Se-Hoon | - |
dc.contributor.affiliatedAuthor | Lim, Dong-Jun | - |
dc.identifier.doi | 10.3340/jkns.2012.51.2.86 | - |
dc.identifier.scopusid | 2-s2.0-84859517963 | - |
dc.identifier.wosid | 000302494800003 | - |
dc.identifier.bibliographicCitation | JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, v.51, no.2, pp.86 - 90 | - |
dc.relation.isPartOf | JOURNAL OF KOREAN NEUROSURGICAL SOCIETY | - |
dc.citation.title | JOURNAL OF KOREAN NEUROSURGICAL SOCIETY | - |
dc.citation.volume | 51 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 86 | - |
dc.citation.endPage | 90 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART001711755 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | MIDDLE CEREBRAL-ARTERY | - |
dc.subject.keywordPlus | TERRITORY INFARCTION | - |
dc.subject.keywordPlus | ISCHEMIC-STROKE | - |
dc.subject.keywordPlus | CRANIECTOMY | - |
dc.subject.keywordPlus | SURGERY | - |
dc.subject.keywordPlus | PRESSURE | - |
dc.subject.keywordPlus | TRIAL | - |
dc.subject.keywordAuthor | Decompressive craniectomy | - |
dc.subject.keywordAuthor | Stroke | - |
dc.subject.keywordAuthor | Pediatric | - |
dc.subject.keywordAuthor | Outcome | - |
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