Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Pediatr Neurol. 2012 Sep;47(3):193-7. doi: 10.1016/j.pediatrneurol.2012.05.005.

Decompressive craniectomy in childhood posterior circulation stroke: a case series and review of the literature.

Author information

  • 1Children's Neuroscience Centre, Royal Children's Hospital, Parkville, Melbourne, Victoria, Australia.

Abstract

Few reports address the role of decompressive craniectomy in children with space-occupying cerebral edema attributable to severe ischemic infarction of the posterior cerebral arterial circulation. We describe four children with posterior circulation arterial ischemic stroke who required decompressive craniectomy. These children accounted for 11% of all cases of posterior circulation ischemic stroke at our institution from 2002-2010. Three manifested large, cerebellar hemispheric infarcts, and one manifested a large, temporo-occipital posterior cerebral artery infarct. Deterioration occurred within 72 hours of stroke onset. Two patients demonstrated minimal functional deficits at follow-up, and two demonstrated moderate deficits with functional limitations. Because decompressive craniectomy can be lifesaving in children with severe posterior circulation arterial ischemic stroke, early neurosurgical referral should be considered.

Copyright © 2012 Elsevier Inc. All rights reserved.

PMID:
22883284
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk