Decompressive craniectomy in children with ...
Document type :
Article dans une revue scientifique: Article original
PMID :
Permalink :
Title :
Decompressive craniectomy in children with severe traumatic brain injury: a multicentre retrospective study and literature review
Author(s) :
Manfiotto, Marie [Auteur]
Beccaria, Kevin [Auteur]
Rolland, Alice [Auteur]
Paternoster, Giovanna [Auteur]
Plas, Benjamin [Auteur]
Boetto, Sergio [Auteur]
Vinchon, Matthieu [Auteur]
Maladies RAres du DÉveloppement embryonnaire et du Métabolisme : du phénotype au génotype et à la Fonction (RADEME) - ULR 7364
Maladies Rares du Développement : Génétique, Régulation et Protéomique (RADEME) - ULR 7364
Mottolese, Carmine [Auteur]
Beuriat, Pierre-Aurelien [Auteur]
Szathmari, Alexandru [Auteur]
Di Rocco, Federico [Auteur]
Scavarda, Didier [Auteur]
Seigneuret, Eric [Auteur]
Wrobleski, Isabelle [Auteur]
Klein, Olivier [Auteur]
Joud, Antony [Auteur]
Gimbert, Edouard [Auteur]
Jecko, Vincent [Auteur]
Vignes, Jean Rodolphe [Auteur]
Roujeau, Thomas [Auteur]
Dupont, Audrey [Auteur]
Zerah, Michel [Auteur]
Lonjon, Michel [Auteur]
Beccaria, Kevin [Auteur]
Rolland, Alice [Auteur]
Paternoster, Giovanna [Auteur]
Plas, Benjamin [Auteur]
Boetto, Sergio [Auteur]
Vinchon, Matthieu [Auteur]
Maladies RAres du DÉveloppement embryonnaire et du Métabolisme : du phénotype au génotype et à la Fonction (RADEME) - ULR 7364
Maladies Rares du Développement : Génétique, Régulation et Protéomique (RADEME) - ULR 7364
Mottolese, Carmine [Auteur]
Beuriat, Pierre-Aurelien [Auteur]
Szathmari, Alexandru [Auteur]
Di Rocco, Federico [Auteur]
Scavarda, Didier [Auteur]
Seigneuret, Eric [Auteur]
Wrobleski, Isabelle [Auteur]
Klein, Olivier [Auteur]
Joud, Antony [Auteur]
Gimbert, Edouard [Auteur]
Jecko, Vincent [Auteur]
Vignes, Jean Rodolphe [Auteur]
Roujeau, Thomas [Auteur]
Dupont, Audrey [Auteur]
Zerah, Michel [Auteur]
Lonjon, Michel [Auteur]
Journal title :
World neurosurgery
Abbreviated title :
World Neurosurg
Publication date :
2019-05-01
ISSN :
1878-8769
Keyword(s) :
Brain injuries
Decompressive craniectomy
Child
Traumatic
Decompressive craniectomy
Child
Traumatic
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
BACKGROUND: Severe traumatic brain injury (TBI) is the most common cause of disability in children. Refractory increased intracranial pressure can be a therapeutic challenge. Decompressive craniectomy can be proposed when ...
Show more >BACKGROUND: Severe traumatic brain injury (TBI) is the most common cause of disability in children. Refractory increased intracranial pressure can be a therapeutic challenge. Decompressive craniectomy can be proposed when medical management is insufficient, but its place is not clearly defined in guidelines. The aim of this study was to identify prognostic factors in children with TBI. METHODS: We performed a retrospective, multicenter study to analyze long-term outcomes of 150 children with severe TBI treated by decompressive craniectomy and to identify prognostic factors. RESULTS: A satisfactory neurologic evolution (represented by a King's Outcome Scale for Childhood Head Injury score >3) was observed in 62% of children with a mean follow-up of 3.5 years. Mortality rate was 17%. Prognostic factors associated with outcome were age, initial Glasgow Coma Scale score, presence of mydriasis, neuromonitoring values (maximal intracranial pressure >30 mm Hg), and radiologic findings (Rotterdam score ≥4). CONCLUSIONS: This study in a large population confirms that children with severe TBI treated by decompressive craniectomy can achieve a good neurologic outcome. Further studies are needed to clarify the use of this surgery in the management of children with severe TBI.Show less >
Show more >BACKGROUND: Severe traumatic brain injury (TBI) is the most common cause of disability in children. Refractory increased intracranial pressure can be a therapeutic challenge. Decompressive craniectomy can be proposed when medical management is insufficient, but its place is not clearly defined in guidelines. The aim of this study was to identify prognostic factors in children with TBI. METHODS: We performed a retrospective, multicenter study to analyze long-term outcomes of 150 children with severe TBI treated by decompressive craniectomy and to identify prognostic factors. RESULTS: A satisfactory neurologic evolution (represented by a King's Outcome Scale for Childhood Head Injury score >3) was observed in 62% of children with a mean follow-up of 3.5 years. Mortality rate was 17%. Prognostic factors associated with outcome were age, initial Glasgow Coma Scale score, presence of mydriasis, neuromonitoring values (maximal intracranial pressure >30 mm Hg), and radiologic findings (Rotterdam score ≥4). CONCLUSIONS: This study in a large population confirms that children with severe TBI treated by decompressive craniectomy can achieve a good neurologic outcome. Further studies are needed to clarify the use of this surgery in the management of children with severe TBI.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
Collections :
Submission date :
2021-09-02T07:02:08Z