Flail bone flap in decompressive craniotomy for infants
Background: Subdural hematoma in infants is a challenging condition. Acute subdural hematomas can cause intracranial hypertension and a midline shift, but decompressive craniotomies in young patients have shown promising results with specific complications in this age group. Hinge craniotomy is an...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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London Academic Publishing
2022-06-01
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| Series: | Romanian Neurosurgery |
| Subjects: | |
| Online Access: | https://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2226 |
| _version_ | 1818234078924636160 |
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| author | Mohammad Fekry Elshirbiny Mohamed Mohsen Amen Assem Ahmed |
| author_facet | Mohammad Fekry Elshirbiny Mohamed Mohsen Amen Assem Ahmed |
| author_sort | Mohammad Fekry Elshirbiny |
| collection | DOAJ |
| description |
Background: Subdural hematoma in infants is a challenging condition. Acute subdural hematomas can cause intracranial hypertension and a midline shift, but decompressive craniotomies in young patients have shown promising results with specific complications in this age group. Hinge craniotomy is an old technique used in many neurosurgical procedures associated with elevated intracranial pressure. The objective of this study is to report the usage of flail bone flap in the management of acute subdural hematoma in infants, its outcome, advantages, disadvantages and related complications.
Methods: This is a review of the medical records of 5 infants younger than one-year-old who underwent decompressive craniotomy as management of acute subdural hematoma at Mansoura university hospital.
Results: In this series, five babies were included. Operative time for decompressive craniotomy (DC) ranged from 1 h and 40 min to 3 h. Four infants survived. Three infants recovered with good outcomes and one infant developed hemiparesis.
Conclusion: The use of flail bone flap technique in decompressive craniotomy is associated with a high success rate and low incidence of complications. Large-based studies are still required for a better assessment of the results.
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| first_indexed | 2024-12-12T11:32:22Z |
| format | Article |
| id | doaj.art-9b99ebf5925f42d2a60a9dc1f01369d2 |
| institution | Directory Open Access Journal |
| issn | 1220-8841 2344-4959 |
| language | English |
| last_indexed | 2024-12-12T11:32:22Z |
| publishDate | 2022-06-01 |
| publisher | London Academic Publishing |
| record_format | Article |
| series | Romanian Neurosurgery |
| spelling | doaj.art-9b99ebf5925f42d2a60a9dc1f01369d22022-12-22T00:25:44ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592022-06-01362Flail bone flap in decompressive craniotomy for infantsMohammad Fekry ElshirbinyMohamed Mohsen AmenAssem Ahmed Background: Subdural hematoma in infants is a challenging condition. Acute subdural hematomas can cause intracranial hypertension and a midline shift, but decompressive craniotomies in young patients have shown promising results with specific complications in this age group. Hinge craniotomy is an old technique used in many neurosurgical procedures associated with elevated intracranial pressure. The objective of this study is to report the usage of flail bone flap in the management of acute subdural hematoma in infants, its outcome, advantages, disadvantages and related complications. Methods: This is a review of the medical records of 5 infants younger than one-year-old who underwent decompressive craniotomy as management of acute subdural hematoma at Mansoura university hospital. Results: In this series, five babies were included. Operative time for decompressive craniotomy (DC) ranged from 1 h and 40 min to 3 h. Four infants survived. Three infants recovered with good outcomes and one infant developed hemiparesis. Conclusion: The use of flail bone flap technique in decompressive craniotomy is associated with a high success rate and low incidence of complications. Large-based studies are still required for a better assessment of the results. https://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2226subdural hematomaflail bone flapdecompressive craniotomy |
| spellingShingle | Mohammad Fekry Elshirbiny Mohamed Mohsen Amen Assem Ahmed Flail bone flap in decompressive craniotomy for infants Romanian Neurosurgery subdural hematoma flail bone flap decompressive craniotomy |
| title | Flail bone flap in decompressive craniotomy for infants |
| title_full | Flail bone flap in decompressive craniotomy for infants |
| title_fullStr | Flail bone flap in decompressive craniotomy for infants |
| title_full_unstemmed | Flail bone flap in decompressive craniotomy for infants |
| title_short | Flail bone flap in decompressive craniotomy for infants |
| title_sort | flail bone flap in decompressive craniotomy for infants |
| topic | subdural hematoma flail bone flap decompressive craniotomy |
| url | https://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2226 |
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