Surgical treatment for 'brain compartment syndrome' in children with severe head injury

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dc.contributor.authorFigaji, A A
dc.contributor.authorFieggen, A G
dc.contributor.authorArgent, A
dc.contributor.authorPeter, J C
dc.date.accessioned2016-02-01T11:13:07Z
dc.date.available2016-02-01T11:13:07Z
dc.date.issued2006
dc.date.updated2016-01-22T13:16:57Z
dc.description.abstractOBJECTIVES: Traumatic brain injury accounts for a high percentage of deaths in children. Raised intracranial pressure (ICP) due to brain swelling within the closed compartment of the skull leads to death or severe neurological disability if not effectively treated. We report our experience with 12 children who presented with cerebral herniation due to traumatic brain swelling in whom decompressive craniectomy was used as an emergency. DESIGN: Prospective, observational. SETTING: Red Cross Children's Hospital. SUBJECTS: Children with severe traumatic brain injury and cerebral swelling. OUTCOME MEASURES: Computed tomography (CT) scanning, ICP control, clinical outcome. RESULTS: Despite the very poor clinical condition of these children preoperatively, aggressive management of the raised pressure resulted in unexpectedly good outcomes. CONCLUSION: Aggressive surgical measures to decrease ICP in the emergency situation can be of considerable benefit; the key concepts are selection of appropriate patients and early intervention.en_ZA
dc.identifierhttp://dx.doi.org/10.7196/SAMJ.1297
dc.identifier.apacitationFigaji, A. A., Fieggen, A. G., Argent, A., & Peter, J. C. (2006). Surgical treatment for 'brain compartment syndrome' in children with severe head injury. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/16665en_ZA
dc.identifier.chicagocitationFigaji, A A, A G Fieggen, A Argent, and J C Peter "Surgical treatment for 'brain compartment syndrome' in children with severe head injury." <i>South African Medical Journal</i> (2006) http://hdl.handle.net/11427/16665en_ZA
dc.identifier.citationFigaji, A. A., Fieggen, A. G., Argent, A., & Peter, J. C. (2006). Surgical treatment for'brain compartment syndrome'in children with severe head injury. South African Medical Journal, 96(9), 969-975.en_ZA
dc.identifier.issn0256-9574en_ZA
dc.identifier.ris TY - Journal Article AU - Figaji, A A AU - Fieggen, A G AU - Argent, A AU - Peter, J C AB - OBJECTIVES: Traumatic brain injury accounts for a high percentage of deaths in children. Raised intracranial pressure (ICP) due to brain swelling within the closed compartment of the skull leads to death or severe neurological disability if not effectively treated. We report our experience with 12 children who presented with cerebral herniation due to traumatic brain swelling in whom decompressive craniectomy was used as an emergency. DESIGN: Prospective, observational. SETTING: Red Cross Children's Hospital. SUBJECTS: Children with severe traumatic brain injury and cerebral swelling. OUTCOME MEASURES: Computed tomography (CT) scanning, ICP control, clinical outcome. RESULTS: Despite the very poor clinical condition of these children preoperatively, aggressive management of the raised pressure resulted in unexpectedly good outcomes. CONCLUSION: Aggressive surgical measures to decrease ICP in the emergency situation can be of considerable benefit; the key concepts are selection of appropriate patients and early intervention. DA - 2006 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2006 SM - 0256-9574 T1 - Surgical treatment for 'brain compartment syndrome' in children with severe head injury TI - Surgical treatment for 'brain compartment syndrome' in children with severe head injury UR - http://hdl.handle.net/11427/16665 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/16665
dc.identifier.vancouvercitationFigaji AA, Fieggen AG, Argent A, Peter JC. Surgical treatment for 'brain compartment syndrome' in children with severe head injury. South African Medical Journal. 2006; http://hdl.handle.net/11427/16665.en_ZA
dc.languageengen_ZA
dc.publisherHealth and Medical Publishing Groupen_ZA
dc.publisher.departmentDivision of Paediatric Surgeryen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Medical Journalen_ZA
dc.source.urihttp://www.samj.org.za/index.php/samj
dc.titleSurgical treatment for 'brain compartment syndrome' in children with severe head injuryen_ZA
dc.typeJournal Articleen_ZA
uct.subject.keywordsbrain compartment syndromeen_ZA
uct.subject.keywordssurgeryen_ZA
uct.subject.keywordschilden_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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