CRANIECTOMY SURGERY IN BRAIN TRAUMA INJURY IN CHILD: (Therapeutic Decisions and Evolution)

Abstract

The decompressive craniectomy is described as temporary removal of a portion of the skull for the relief of high intracranial pressure. The new interest of this technique is it good outcome in management of some brain pathologies in adult such as traumatic brain injury (TBI).

Objective:

Assess our outcome of the decompressive craniectomy in brain trauma injury in the child.

Material and Method 

Overall seventeen children with brain trauma injury were prospectively underwent for cranial flap during 36 months. This study concerned children between 0 and 15 years old.

Result

Seventeen files were kept. The mean age was 7.9 years. The male gender was predominant in 11 cases. We recorded 7 patients in coma. An anisocoria was observed in 6 patients, and a hemiplegia in 5 cases. The brain CT-Scan showed the presence of the cerebral bruise lesions associated with an intracranial hematoma in 7 cases. The mean delay therapeutic was 45 hours. Death rate was recorded in 5 cases.

The clinical evolution was good in 8 patients. A vestigial neurological deficit was recovered in 4 cases.

Conclusion 

The craniectomy provides mostly good outcome in brain injury and permits intracranial pressure monitoring, and reduces mortality or morbidity. It deserves to be integrated into management of severe trauma brain injury in child.