2001
DOI: 10.1007/s003810000410
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Abstract: All children were managed from admission onward according to a standardized protocol for head injury management. Children with raised intracranial pressure (ICP) were randomized to standardized management alone or standardized management plus cerebral decompression. A decompressive bitemporal craniectomy was performed at a median of 19.2 h (range 7.3-29.3 h) from the time of injury. ICP was recorded hourly via an intraventricular catheter. Compared with the ICP before randomization, the mean ICP was 3.69 mmHg … Show more

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Cited by 483 publications
(270 citation statements)
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References 41 publications
(54 reference statements)
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“…In both children and adults, a bilateral frontotemporoparietal craniectomy is often used for diffuse bilateral swelling, while a unilateral frontotemporoparietal craniectomy is chosen for unilateral brain swelling. 21,25,30 A variety of specialized techniques have also been reported in children, including smaller, 4-cm bitemporal craniectomies, 48 larger craniectomies, 25,28 and craniectomy combined with expansion duraplasty. 14,18,42 To date no study has compared the efficacy of the various techniques in improving outcome.…”
Section: Surgical Interventions For Tbi In the Pediatric Populationmentioning
confidence: 99%
See 1 more Smart Citation
“…In both children and adults, a bilateral frontotemporoparietal craniectomy is often used for diffuse bilateral swelling, while a unilateral frontotemporoparietal craniectomy is chosen for unilateral brain swelling. 21,25,30 A variety of specialized techniques have also been reported in children, including smaller, 4-cm bitemporal craniectomies, 48 larger craniectomies, 25,28 and craniectomy combined with expansion duraplasty. 14,18,42 To date no study has compared the efficacy of the various techniques in improving outcome.…”
Section: Surgical Interventions For Tbi In the Pediatric Populationmentioning
confidence: 99%
“…12 The 5 trials summarized in Table 3 are the most significant and recent in the field of craniectomy following pediatric and adult TBI. Of these studies, only the Taylor et al 48 and Kan et al 27 trials are dedicated pediatric studies. The remaining 3 studies analyze primarily adult populations with overlap into the pediatric age range.…”
Section: Clinical Trials Of Tbimentioning
confidence: 99%
“…This small study enrolled 27 patients for a 7-year period. Thirteen patients randomized to DC had improved favorable outcome at 6 months as compared with those who were managed medically (54% vs 14%) [97]. A recent metaanalysis of DC in pediatric patients that included 172 patients from 35 studies concluded that DC might be warranted in pediatric patients with high ICP from any etiology.…”
Section: Decompressive Craniectomymentioning
confidence: 99%
“…Sólo el pequeño estudio aleatorizado de Taylor et al en niños muestra una reducción del riesgo de muerte de 0,54 (IC del 95%, 0,29-1,07) 36 . Los estudios en adultos son series de casos o estudios de cohortes con controles históricos, y encuentran que efectivamente reduce la PIC en la mayoría de los casos (85%).…”
Section: Craniectomía Descompresivaunclassified