Ramaswamy Vijay, Mehta Vivek, Bauman Mary, Richer Lawrence, Massicotte Patti, Yager Jerome Y
Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
J Child Neurol. 2008 Aug;23(8):889-94. doi: 10.1177/0883073808314960. Epub 2008 Apr 10.
Decompressive hemicraniectomy has been discussed as a treatment option that increases survival in adults with malignant stroke. This approach has not been studied extensively in children. From a prospective cohort, we identified 4 children who underwent decompressive hemicraniectomy for malignant infarctions with life-threatening cerebral edema within 72 hours of their stroke. All 4 children had different causes for their stroke and experienced severe cerebral edema with increasing intracranial pressure and an impending fatal outcome. Despite massive cerebral infarction, all patients were ambulant and able to speak at the time of follow-up. Although a limited experience, decompressive hemicraniectomy is a life-saving approach for malignant stroke in children.
减压性颅骨切除术已被作为一种可提高恶性中风成年患者生存率的治疗选择进行讨论。这种方法在儿童中尚未得到广泛研究。我们从一个前瞻性队列中，确定了4名儿童，他们在中风后72小时内因恶性梗死伴危及生命的脑水肿而接受了减压性颅骨切除术。所有4名儿童的中风病因各不相同，均出现了严重脑水肿，颅内压升高，且有即将出现致命后果的情况。尽管有大面积脑梗死，但所有患者在随访时都能行走且能说话。尽管经验有限，但减压性颅骨切除术对儿童恶性中风是一种挽救生命的方法。
