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

Park, Young Soo; Kogeichi, Yohei; Haku, Takahide; Kim, Tae Kyun; Yokota, Hiroshi; Nakagawa, Ichiro; Motoyama, Yasushi; Nakase, Hiroyuki

doi:10.1007/s00381-020-04942-7

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…Park et al . [ 1 ] developed a hinge and floating decompressive craniotomy specialized in infantile. Compared with our technique, the original hinge and floating decompressive craniotomy had more superior concepts, such as removing the base of the temporal bone and expansive duraplasty using collected periosteum or resorbable substitute dura.…”

Section: Discussionmentioning

confidence: 99%

“…If our institute had the ICP monitor, we might place the subgaleal drainage catheter to drain out cerebrospinal fluid and decrease ICP. [ 1 ]…”

Section: Discussionmentioning

confidence: 99%

“…In addition, epidural abscesses and surgical site infections (SSIs) often occur, which leads to aggressive postoperative treatment more difficult. [ 1 ]…”

Section: Introductionmentioning

confidence: 99%

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Inverted gull-wing hinge decompressive craniotomy for infantile acute subdural hematoma: A case report

Okuma¹,

Yasuhara²,

Kin³

et al. 2023

Brain Circ

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Infantile severe acute subdural hematomas (ASDHs) usually require a decompressive craniotomy. However, these infantile patients often suffer surgical site infection and aseptic bone-flap resorption after external decompression. In this report, we showed a case of a simplified hinge decompressive craniotomy in an infant with severe ASDH. A 2-month-old girl suffered from status epilepticus, impaired consciousness, multiple rib fractures, bilateral fundus hemorrhage, and a right ASDH. We performed a simplified hinge decompressive craniotomy, making a vascularized bone flap with a hinge using the partial temporal bone and temporal muscle and not fixing the bone flap like an inverted gull wing. Cranioplasty was performed 4 weeks after the decompression craniotomy with replaced resorbable substitute dura. Six months after the transfer, her development was generally in line with her age. The decompressive craniotomy with an inverted gull-wing hinge has shown a good outcome.

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Section: Discussionmentioning

confidence: 99%

“…If our institute had the ICP monitor, we might place the subgaleal drainage catheter to drain out cerebrospinal fluid and decrease ICP. [ 1 ]…”

Section: Discussionmentioning

confidence: 99%