Greenstick fracture-hinge decompressive craniotomy in infants: illustrative case and literature review of techniques for decompressive craniotomy without bone removal

Yokota, Hiroshi; Senoo, Tadashi; Nishiguchi, Mitsuhisa; Hashimoto, Hiroyuki

doi:10.1007/s00381-019-04177-1

Cited by 9 publications

(5 citation statements)

References 42 publications

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“…The consequence is a big surgery with additional trauma to the healthy side of the skull. This procedure itself can lead to complications [9][10][11]13].…”

Section: Discussionmentioning

confidence: 99%

Decompressive Craniotomy in Split-Technique (DCST) for TBI in infants: Introducing a new surgical technique to prevent long-term complications

Sarikaya-Seiwert,

Shabo,

Schievelkamp

et al. 2024

Preprint

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Decompressive craniectomy (DC) is rarely required in infants. These youngest patients are vulnerable to blood loss and cranial reconstruction can be challenging due to skull growth and bone flap resorption. On the other hand, infants have thin and flexible bone and osteogenic potential. We propose a new technique called DCST, which makes use of these unique aspects by achieving decompression using the circumstance of the thin and flexible bone. We describe the surgical technique and the follow up course over a period of 13 months. In our series, DCST achieved an adequate decompression and redundantized further surgeries in accordance with decompressive craniectomy.

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“…The consequence is a big surgery with additional trauma to the healthy side of the skull. This procedure itself can lead to complications [9][10][11]13].…”

Section: Discussionmentioning

confidence: 99%

Decompressive Craniotomy in Split-Technique (DCST) for TBI in infants: Introducing a new surgical technique to prevent long-term complications

Sarikaya-Seiwert,

Shabo,

Schievelkamp

et al. 2024

Preprint

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“…Little has been discussed about the efficacy and safety of hinge or floating craniotomies especially in infants, and only one infant case was included according the review. Furthermore, there have been few reports of the details describing surgical concepts and methodology [13].…”

Section: Discussionmentioning

confidence: 99%

Hinge and floating decompressive craniotomy for infantile acute subdural hematoma: technical note

et al. 2020

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Cranioplasty complications after decompressive craniectomy (DC) in infants are not fully recognized. We aimed to devise and assess the efficacy of a hinge and floating DC (HFDC) technique for treating infantile acute subdural hematoma. Five infants, aged 2-20 months, were included. Intracranial pressure was controlled below 20 mmHg, no additional surgery was required, and there was no incidence of surgical site infection or bone graft resorption.

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“…[ 12 , 21 ] Since decompressive craniectomy carries a high risk of complications, particularly in infants, hinge craniotomy can be a useful alternative to reduce intracranial pressure (ICP). [ 23 ] Numerous studies have also reported infants undergoing hinge craniotomy. [ 17 , 23 ] However, not all studies reported the status of functional outcomes at the conclusion of follow-up.…”

Section: Introductionmentioning

confidence: 99%

“…[ 23 ] Numerous studies have also reported infants undergoing hinge craniotomy. [ 17 , 23 ] However, not all studies reported the status of functional outcomes at the conclusion of follow-up. [ 12 ] Here, we describe a 2-month-old boy who underwent hinge craniotomy to treat the big black brain and had a positive early outcome.…”

Section: Introductionmentioning

confidence: 99%

Managing the “big black brain” in low resource setting: A case report of early outcome after hinge craniotomy

Siahaan,

Nainggolan,

Susanto

et al. 2023

Surgical Neurology International

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Background: The big black brain (BBB) phenomenon is described as an infant’s response to an acute subdural hematoma (SDH). It is characterized by hypodensity and swelling of the supratentorial compartment as a whole. Numerous factors may contribute to the formation of the BBB. Due to its high morbidity and mortality, the management of BBB is still debatable. In this report, we describe a 2-month-old boy who had bilateral hemispheric hypodensity and underwent hinge craniotomy. Case Description: The patient was referred to our hospital with decreased consciousness. The patient had a history of seizures and cardiopulmonary arrest. There is no history of trauma. The computed tomography revealed a subacute SDH on the left parietal and occipital lobe along with hypodensity in both hemispheres with preservation of posterior fossa, consistent with hemispheric hypodensity. We performed a hinge craniotomy for the emergency procedure and evacuated only the hemisphere with the bleeding side. The patient cried spontaneously 24 hours after the procedure and was discharged six days later. Conclusion: Early outcomes of hinge craniotomy as an alternative procedure for treating the BBB were positive. However, long-term outcomes, particularly the infant’s development, should be monitored.

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Greenstick fracture-hinge decompressive craniotomy in infants: illustrative case and literature review of techniques for decompressive craniotomy without bone removal

Cited by 9 publications

References 42 publications

Decompressive Craniotomy in Split-Technique (DCST) for TBI in infants: Introducing a new surgical technique to prevent long-term complications

Decompressive Craniotomy in Split-Technique (DCST) for TBI in infants: Introducing a new surgical technique to prevent long-term complications

Hinge and floating decompressive craniotomy for infantile acute subdural hematoma: technical note

Managing the “big black brain” in low resource setting: A case report of early outcome after hinge craniotomy

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