Decompressive craniectomy 116 h after malignant middle cerebral artery infarction. Issue 7 (19th February 2016)

• Record Type: Journal Article
• Authors: Yamaguchi, Hiroshi; Yamamoto, Kazuki; Akutsu, Nobuyuki; Kusumoto, Mayumi; Kajihara, Shinsuke; Yamaguchi, Yoshimichi; Takeda, Hiroki; Kawamura, Atsushi; Uetani, Yoshiyuki
• Is Part Of: Pediatrics international. Volume 58:Issue 7(2016)
• Page Start: 622
• Page End: 624
• Publication Date: 2016-02-19
• Subjects: decompressive craniectomy -- focal cerebral arteriopathy of childhood -- malignant middle cerebral artery infarction -- stroke; Pediatrics -- Periodicals; 618.92
• DOI: 10.1111/ped.12877
• Languages: English
• ISSNs: 1328-8067

Abstract

Abstract: The optimal timing of decompressive craniectomy in pediatric patients after presentation with malignant middle cerebral artery infarction is unknown. We report herein the case of a previously healthy 6‐year‐old Japanese girl who had good outcome after emergency decompressive craniectomy 116 h after malignant middle cerebral artery infarction. This case suggests that the timing of decompressive craniectomy can be delayed until deterioration of neurological findings and, compared with adults, a more prolonged time course for surgical intervention might be acceptable.