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Decompressive craniectomy 116 h after malignant middle cerebral artery infarction |
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| Authors: | Hiroshi Yamaguchi Kazuki Yamamoto Nobuyuki Akutsu Mayumi Kusumoto Shinsuke Kajihara Yoshimichi Yamaguchi Hiroki Takeda Atsushi Kawamura Yoshiyuki Uetani |
| Institution: | 1. Department of Emergency and Critical Care Medicine, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan;2. Department of Neurosurgery, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan |
| Abstract: | The optimal timing of decompressive craniectomy in pediatric patients after presentation with malignant middle cerebral artery infarction is unknown. We report herein the case of a previously healthy 6‐year‐old Japanese girl who had good outcome after emergency decompressive craniectomy 116 h after malignant middle cerebral artery infarction. This case suggests that the timing of decompressive craniectomy can be delayed until deterioration of neurological findings and, compared with adults, a more prolonged time course for surgical intervention might be acceptable. |
| Keywords: | decompressive craniectomy focal cerebral arteriopathy of childhood malignant middle cerebral artery infarction stroke |