Introduction: Decompressive craniectomy is a neurosurgical technique indicated as a last resort in the management of intracranial hypertension refractory to medical treatment. Carried out in infants, it represents an additional challenge due to the morbidity and mortality with which it is associated. The objective of our study was to report the experience of the neurosurgery department of Fann University Hospital in Dakar. Patients and Methods: It's a retrospective study on 4 infants who have undergone a decompressive craniectomy at Fann University Hospital in Dakar over a period of 10 years, from January 1, 2010 to December 31, 2020. Results: Four patients under 2 years of age underwent decompressive craniectomy out of a total of 26 patients over the study period. The mean age at diagnosis was 10 months with extreme (60 days to 24 month). The average consultation time was 3 days with extremes (1 to 8 days). Two infants had had severe head trauma. Only one infant showed significant clinical improvement postoperatively; the other three died within 1 to 6 days of surgery. These deaths were linked to acute bleeding in 75% of cases. The mean survival time was 2 days with extremes ranging from 1 to 4 days. Conclusion: Decompresive craniectomy remains the challenge in infants due to the risk of bleeding and hemodynamic instability. Given the low number of publications, we encourage other authors to share their. In our study, three patients died at the end of the operation from bleeding complications. Among these deaths a patient had a coagulopathy which also poses another challenge to the management of these patients.
| Published in | International Journal of Neurosurgery (Volume 5, Issue 1) |
| DOI | 10.11648/j.ijn.20210501.13 |
| Page(s) | 8-12 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Decompresive Craniectomy, Infant, Subdural Hematoma, Intracranial Hypertension
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APA Style
El Hadji Cheikh Ndiaye Sy, Abdoulaye Diop, Yakhya Cisse, Mohameth Faye, Attoumane Fahad, et al. (2021). Decompresive Craniectomy in Infants at Fann University Hospital in Dakar. International Journal of Neurosurgery, 5(1), 8-12. https://doi.org/10.11648/j.ijn.20210501.13
ACS Style
El Hadji Cheikh Ndiaye Sy; Abdoulaye Diop; Yakhya Cisse; Mohameth Faye; Attoumane Fahad, et al. Decompresive Craniectomy in Infants at Fann University Hospital in Dakar. Int. J. Neurosurg. 2021, 5(1), 8-12. doi: 10.11648/j.ijn.20210501.13
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author = {El Hadji Cheikh Ndiaye Sy and Abdoulaye Diop and Yakhya Cisse and Mohameth Faye and Attoumane Fahad and Maguette Mbaye and Mbaye Thioub and Jean Michel Nzisabira and Lounceny Fatoumata Barry and Rel Gerald Boubaka Kala and Ansoumane Donzo and Abdou Soilihi Ansaou and Nantenin Doumbia and Alioune Badara Thiam and Momar Code Ba and Seydou Boubakar Badiane},
title = {Decompresive Craniectomy in Infants at Fann University Hospital in Dakar},
journal = {International Journal of Neurosurgery},
volume = {5},
number = {1},
pages = {8-12},
doi = {10.11648/j.ijn.20210501.13},
url = {https://doi.org/10.11648/j.ijn.20210501.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20210501.13},
abstract = {Introduction: Decompressive craniectomy is a neurosurgical technique indicated as a last resort in the management of intracranial hypertension refractory to medical treatment. Carried out in infants, it represents an additional challenge due to the morbidity and mortality with which it is associated. The objective of our study was to report the experience of the neurosurgery department of Fann University Hospital in Dakar. Patients and Methods: It's a retrospective study on 4 infants who have undergone a decompressive craniectomy at Fann University Hospital in Dakar over a period of 10 years, from January 1, 2010 to December 31, 2020. Results: Four patients under 2 years of age underwent decompressive craniectomy out of a total of 26 patients over the study period. The mean age at diagnosis was 10 months with extreme (60 days to 24 month). The average consultation time was 3 days with extremes (1 to 8 days). Two infants had had severe head trauma. Only one infant showed significant clinical improvement postoperatively; the other three died within 1 to 6 days of surgery. These deaths were linked to acute bleeding in 75% of cases. The mean survival time was 2 days with extremes ranging from 1 to 4 days. Conclusion: Decompresive craniectomy remains the challenge in infants due to the risk of bleeding and hemodynamic instability. Given the low number of publications, we encourage other authors to share their. In our study, three patients died at the end of the operation from bleeding complications. Among these deaths a patient had a coagulopathy which also poses another challenge to the management of these patients.},
year = {2021}
}
TY - JOUR T1 - Decompresive Craniectomy in Infants at Fann University Hospital in Dakar AU - El Hadji Cheikh Ndiaye Sy AU - Abdoulaye Diop AU - Yakhya Cisse AU - Mohameth Faye AU - Attoumane Fahad AU - Maguette Mbaye AU - Mbaye Thioub AU - Jean Michel Nzisabira AU - Lounceny Fatoumata Barry AU - Rel Gerald Boubaka Kala AU - Ansoumane Donzo AU - Abdou Soilihi Ansaou AU - Nantenin Doumbia AU - Alioune Badara Thiam AU - Momar Code Ba AU - Seydou Boubakar Badiane Y1 - 2021/03/12 PY - 2021 N1 - https://doi.org/10.11648/j.ijn.20210501.13 DO - 10.11648/j.ijn.20210501.13 T2 - International Journal of Neurosurgery JF - International Journal of Neurosurgery JO - International Journal of Neurosurgery SP - 8 EP - 12 PB - Science Publishing Group SN - 2640-1959 UR - https://doi.org/10.11648/j.ijn.20210501.13 AB - Introduction: Decompressive craniectomy is a neurosurgical technique indicated as a last resort in the management of intracranial hypertension refractory to medical treatment. Carried out in infants, it represents an additional challenge due to the morbidity and mortality with which it is associated. The objective of our study was to report the experience of the neurosurgery department of Fann University Hospital in Dakar. Patients and Methods: It's a retrospective study on 4 infants who have undergone a decompressive craniectomy at Fann University Hospital in Dakar over a period of 10 years, from January 1, 2010 to December 31, 2020. Results: Four patients under 2 years of age underwent decompressive craniectomy out of a total of 26 patients over the study period. The mean age at diagnosis was 10 months with extreme (60 days to 24 month). The average consultation time was 3 days with extremes (1 to 8 days). Two infants had had severe head trauma. Only one infant showed significant clinical improvement postoperatively; the other three died within 1 to 6 days of surgery. These deaths were linked to acute bleeding in 75% of cases. The mean survival time was 2 days with extremes ranging from 1 to 4 days. Conclusion: Decompresive craniectomy remains the challenge in infants due to the risk of bleeding and hemodynamic instability. Given the low number of publications, we encourage other authors to share their. In our study, three patients died at the end of the operation from bleeding complications. Among these deaths a patient had a coagulopathy which also poses another challenge to the management of these patients. VL - 5 IS - 1 ER -
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