Hankinson Todd C, Mocco J, Kimball Brent, Anderson Richard C E, Feldstein Neil A
Department of Neurosurgery, Columbia University, College of Physicians and Surgeons, New York, New York 10032, USA.
J Neurosurg. 2007 Nov;107(5 Suppl):402-5. doi: 10.3171/PED-07/11/402.
The authors describe the internal cranial expansion (ICE) procedure, a surgical technique that was used to treat two chronically shunt-treated children who presented with medically and surgically refractory intracranial hypertension despite the presence of functioning cerebrospinal fluid shunt systems. The ICE procedure was used as a means to increase intracranial volume without sacrificing calvarial rigidity. Intracranial volume was increased by 5% in one case and 10% in the other. Both patients have returned to their neurological and functional baselines, and they are free of symptoms related to intracranial hypertension.
