ReviewChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2019
Decompressive craniectomy for severe traumatic brain injury in children: analysis of long-term neuropsychological impairment and review of the literature.
Review in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Decompressive craniectomy in pediatric patients with traumatic brain injury: an up to date comprehensive review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Pooled it
- Long-term functional outcomes following pediatric decompressive craniectomy for traumatic brain injury.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
- Early Postoperative Complications after Decompressive Craniectomy for Pediatric Severe Traumatic Brain Injury.Research square · 2026Article
- Hinge craniotomy in pediatric traumatic brain injury: a narrative review and national survey among Mexican neurosurgeons.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Review
- Management and outcomes of craniectomy and cranioplasty in pediatric intracranial infections: a multicenter cohort study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Observational
- The Short-Term Impact of Decompressive Craniectomy in Pediatric Patients with Severe Traumatic Brain Injury: A Retrospective Matched Cohort Study.Children (Basel, Switzerland) · 2025Article
- Gap Expansion Between Cranial Bone and Polyether Ether Ketone Implant in Cranioplasty of Pediatric Patients after Decompressive Craniectomy at Follow-up.Neurotrauma reports · 2025Article
- Decompressive craniectomy in children: indications and outcome from a tertiary centre.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Light and the Brain: A Clinical Case Depicting the Effects of Light on Brainwaves and Possible Presence of Plasma-like Brain Energy.Brain sciences · 2024Article
- Intracranial Pressure and Its Related Parameters in the Management of Severe Pediatric Traumatic Brain Injury.Advances in neurobiology · 2024Review
- Epidemiological study of paediatric traumatic brain injury in Brazil.World neurosurgery: X · 2023Article
- Impact of timing of decompressive craniectomy on outcomes in pediatric traumatic brain injury.Surgical neurology international · 2023Article
- Favourable long-term recovery after decompressive craniectomy: the Northern Finland experience with a predominantly adolescent patient cohort.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Article
- Severe Traumatic Brain Injury in children-paradigm of decompressive craniectomy compared to a historic cohort.Acta neurochirurgica · 2022Article
- Addressing Key Clinical Care and Clinical Research Needs in Severe Pediatric Traumatic Brain Injury: Perspectives From a Focused International Conference.Frontiers in pediatrics · 2020Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe effectiveness of decompressive craniectomy (DC) in the context of neurocritical care in adult patients has been recently under debate. The aim of our study was to evaluate the impact of decompressive craniectomy in severe traumatic brain injury (TBI) in children, focusing on short and long-term neurological and neuropsychological outcomes.
methodsRetrospective review of the medical records of children admitted at a level I trauma center, between January 2012 and December 2015, submitted to DC due to severe TBI. Additionally, an extensive review of literature on this subject was carried out.
resultsSixteen patients underwent DC for TBI at our institution during the evaluated period. 62.5% were males and the mean age was 12 years. Road traffic accident (RTA) was the main mechanism of trauma (62.5%). Average Glasgow Coma Scale (GCS) at admission was 5.2, whereas 75% of the patients presented with pathological pupillary reaction. Initial computed tomography (CT) showed skull fractures in 62.5% and acute subdural hemorrhage (ASH) in 56.3% of the patients. The mean intracranial pressure (ICP) was 27.2 mmHg prior to surgery, and the mean time window between admission and DC was 36.3 h. Unilateral DC was performed in 68.8% of the cases. The average Glasgow Outcome Scale (GOS) at 6-month follow-up was 3.7, whereas 70% of the survivors presented good recovery (GOS 4-5). Abnormal pupillary reaction at hospital admission increased 3-fold the risk of long-term neuropsychological disturbances. Follow-up evaluation revealed cognitive abnormality in 55.6% of the patients. The overall mortality at 6-month follow-up was 37.5%.
conclusionThe present study indicates towards a potential benefit of DC in children with severe TBI; nevertheless, our data demonstrated a high incidence of neuropsychological impairment in the long-term follow-up. Psychological and cognitive assessment should be computed in prognosis evaluation in future prospective studies.
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