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

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

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Infantile severe acute subdural hematomas (ASDHs) usually require a decompressive craniotomy.However, these infantile patients often suffer surgical site infection and Soccer - Shoes Outdoor - Junior 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 CAMPING GEAR the bone flap like an inverted gull wing.Cranioplasty was performed 4 weeks after the decompression craniotomy with replaced resorbable substitute dura.Six months after the transfer, her development was generally in line with her age.The decompressive craniotomy with an inverted gull-wing hinge has shown a good outcome.