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Resistant Pseudomeningocele following Craniotomy for Non-Traumatic Acute Intracranial Haematoma in Very Young Children: Report of Four Cases.
- Source :
-
Pediatric Neurosurgery . 2019, Vol. 54 Issue 5, p319-323. 5p. 2 Color Photographs, 2 Black and White Photographs. - Publication Year :
- 2019
-
Abstract
- Background: The incidence of non-traumatic intracranial haemorrhage among neonates is less than among adults. However, the outcomes are generally poor, with high rates of morbidity and mortality. Non-traumatic intracranial haemorrhage can cause a sudden increase in intracranial pressure, requiring emergency craniotomy for evacuation. Methods: We report 4 cases following craniotomy for non-traumatic acute intracranial haematoma in very young children. The surgical technique and postoperative course are discussed, with emphasis on dural repair to avoid resistant pseudomeningocele. Results: Despite successful management of the acutely raised intracranial pressure, all patients afterwards developed tense pseudomeningoceles and required formal dural repair. This led to a change in institutional practice and modifications to the surgical technique. Conclusion: The authors highlight the postoperative occurrence of resistant pseudomeningoceles in young children after clot evacuations and leaving the dura open. They describe the surgical procedures to avoid these pseudomeningoceles. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10162291
- Volume :
- 54
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Pediatric Neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 139195029
- Full Text :
- https://doi.org/10.1159/000502360