Inverted gull-wing hinge decompressive craniotomy for infantile acute subdural hematoma: A case report.

ABSTRACT: Infantile severe acute subdural hematomas (ASDHs) usually require a decompressive craniotomy. However, these infantile patients often suffer surgical site infection and aseptic bone-flap resorption after external decompression. In this report, we showed a case of a simplified hinge decompressive craniotomy in an infant with severe ASDH. A 2-month-old girl suffered from status epilepticus, impaired consciousness, multiple rib fractures, bilateral fundus hemorrhage, and a right ASDH. We performed a simplified hinge decompressive craniotomy, making a vascularized bone flap with a hinge using the partial temporal bone and temporal muscle and not fixing the bone flap like an inverted gull wing. Cranioplasty was performed 4 weeks after the decompression craniotomy with replaced resorbable substi

SUBMITTER: Okuma Y 

PROVIDER: S-EPMC10158666 | biostudies-literature | 2023 Jan-Mar

REPOSITORIES: biostudies-literature