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Child's Nervous System

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01-06-2020 | Intracranial Hypertension | Case Report

Decompressive craniectomy with scalp expansion graft using a temporary synthetic skin substitute in the pediatric population: case series and review of the literature

Authors: Jared B. Cooper, Michael G. Kim, Avinash Mohan, Michael E. Tobias

Published in: Child's Nervous System | Issue 6/2020

Abstract

Introduction

The use of decompressive craniectomy in children is controversial and often reserved for patients with refractory intracranial hypertension. Following decompression, skin closure in select cases can be challenging due to brain herniation and swelling through the craniectomy defect. In these cases, partial cortical debridement is sometimes performed.

Methods

We describe two cases in which a synthetic skin substitute was used to facilitate a tension-free closure, rather than performing a partial lobectomy.

Results

At 6-month follow-up, both patients are at preoperative cognitive baseline, with some residual hemiparesis.

Discussion

We believe that use of a synthetic skin substitute for skin closure after decompression is a suitable option for closure of traumatic scalp wounds and may contribute to improved functional outcome in patients with severe intraoperative brain swelling.

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Title: Decompressive craniectomy with scalp expansion graft using a temporary synthetic skin substitute in the pediatric population: case series and review of the literature
Authors: Jared B. Cooper
Michael G. Kim
Avinash Mohan
Michael E. Tobias
Publication date: 01-06-2020
Publisher: Springer Berlin Heidelberg
Keyword: Intracranial Hypertension
Published in: Child's Nervous System / Issue 6/2020
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-019-04494-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Decompressive craniectomy with scalp expansion graft using a temporary synthetic skin substitute in the pediatric population: case series and review of the literature

Abstract

Introduction

Methods

Results

Discussion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Discussion

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