Complications and neurologic deterioration after bilateral decompressive craniectomy in Gunshot penetrating brain injury in children.

Introduction: Penetrating skull injuries in pediatrics (TPC) occupy a special place due to their rarity. The aim is to provide an overview of the current evidence on decompressive craniectomy in children, to describe the indications and to detail the complications. Reporte case: We present the case...

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Detalles Bibliográficos
Autores: Domínguez-Rojas, Jesus Ángel, Caqui-Vilca, Patrick, Aguilera-Avendaño, Vladimir, Mora-Robles, Lupe Nataly
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Perú
Institución:Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Repositorio:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Idioma:inglés
OAI Identifier:oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/1405
Acceso en línea:https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1405
Access Level:acceso abierto
Palabra clave:Cranectomía descompresiva
UCIP
Niño
Cerebro
Trauma
Decompressive cranectomy
PICU
Child
Brain
Descripción
Sumario:Introduction: Penetrating skull injuries in pediatrics (TPC) occupy a special place due to their rarity. The aim is to provide an overview of the current evidence on decompressive craniectomy in children, to describe the indications and to detail the complications. Reporte case: We present the case of a 12-year-old boy who suffered a TPC by a projectile that perforated his head, causing multiple brain injuries, and underwent early bilateral decompressive craniectomy, presenting the complications and neurological disabilities typical of the injury and surgery, with a reserved evolution and prognosis. Conclusions: Pediatric penetrating skull injuries should be of individualized management, type of injury and disease, experience of the treatment team, and the decision should always be consensual in front of the benefits and risks in the short and long term.