Advances and limitations in our knowledge of cortical reorganization in cerebral palsy

Frye, Richard E.

doi:10.1111/j.1469-8749.2011.04157.x

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Given our patient's young age, we relied on preservation of the contralateral hemisphere to provide for a reasonable long-term functional outcome. 6,9 Conclusions The use of a Silastic sheet to augment skin closure in the face of extreme brain swelling during decompressive craniectomy in a young child with an extensive unilateral hemispheric traumatic brain injury resulted in a reasonable functional outcome. This technique may be considered a viable option in the rare circumstance of extreme brain swelling unresponsive to standard treatments and as an alternative to resection of potentially viable brain tissue.…”

Section: Other Considerationsmentioning

confidence: 98%

Decompressive craniectomy with massive intractable intraoperative cerebral edema: utilization of silicone sheet for temporary scalp closure

Ahmadian

Garcia³

et al. 2012

PED

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The authors present a case of extreme brain herniation encountered during decompressive craniectomy in a 21-month-old boy who suffered a trauma event that necessitated temporary scalp closure in which a sterile silicone sheet was placed. Although the clinical situation is usually expected to lead to brain death or severe disability, the patient's 3-year follow-up examination revealed a highly functional child with a good quality of life. The authors discuss the feasibility and advantages of temporary scalp expansion as a treatment option when extreme brain herniation is encountered during craniotomy.

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Section: Other Considerationsmentioning

confidence: 98%