Hemicraniectomy as a successful treatment of mass effect in acute disseminated encephalomyelitis

Life-saving decompressive craniectomy for acute disseminated encephalomyelitis in a child: a case report

“…The only reported cases concern four adult patients and indicate that decompression in adult patients with ADEM is effective and associated with a favorable outcome. The four patients have mild residual neurological deficits soon after craniectomy [1,17,19,23]. Our patient is the first reported child with ADEM who sustained a life-saving craniectomy after monitoring of the intracranial pressure (Fig.…”

“…Decompressive craniectomy in ADEM is reported rarely in medical literature [1,17,19,23]. The only reported cases concern four adult patients and indicate that decompression in adult patients with ADEM is effective and associated with a favorable outcome.…”

Decompressive Craniectomy for Acute Disseminated Encephalomyelitis

“…Outside of these indications, reports are limited. Previous reports in which a decompressive craniectomy has been performed for ADEM [8][9][10] or tumefactive demyelination [4,11] are limited. However, these reports indicate that decompression in patients with ADEM is suggestive of a favourable outcome with only mild residual neurological deficits at 3 months [8,9].…”

Fulminant acute disseminated encephalomyelitis in renal transplant patient treated by decompressive craniectomy: a case report

“…It is relatively simple to perform and is not associated with significant risks or complications. The effectiveness of decompressive craniectomy with hyperacute forms of ADEM has been reported [7,[17][18][19]. It is particularly effective in acute neurological deterioration associated with significant mass effect and brain herniation, particularly in patients with compromised or at risk renal function, in whom the use of osmotic diurectics or other measures to control intracranial pressure may be limited.…”