@article{10.11648/j.ijn.20210501.13,
  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}
}

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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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