Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Decompressive Hemicraniectomy and Duroplasty in Toddlers and Preschool Children with Refractory Intracranial Hypertension after Unilateral Hemispheric Stroke

  • Lee, Sang-Kook (Department of Neurosurgery, Korea University Ansan Hospital) ;
  • Kim, Sang-Dae (Department of Neurosurgery, Korea University Ansan Hospital) ;
  • Kim, Se-Hoon (Department of Neurosurgery, Korea University Ansan Hospital) ;
  • Lim, Dong-Jun (Department of Neurosurgery, Korea University Ansan Hospital) ;
  • Park, Jung-Yul (Department of Neurosurgery, Korea University Ansan Hospital)
  • Received : 2011.11.17
  • Accepted : 2012.02.24
  • Published : 2012.02.28
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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.

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References

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