caa a22 4500 606214755 CHVBK 20210128101055.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s00701-015-2607-1 doi (NATIONALLICENCE)springer-10.1007/s00701-015-2607-1 Decompressive craniectomy for massive internal carotid artery infarction after pediatric penetrating neck trauma [Elektronische Daten] [Bruno de Carvalho, Clara Chamadoira, Rita Figueiredo, Josué Pereira, Luísa Gaspar, Rui Vaz] Pediatric penetrating carotid arterial trauma is a rare unreported cause of malignant cerebral infarction. Despite increasing evidence of benefit of decompressive hemicraniectomy (DCH) in pediatric malignant stroke, indications and predictors of outcome remain controversial. We report a 4-year-old boy with penetrating zone II neck trauma with laceration of the right internal carotid artery who developed malignant cerebral infarction requiring DCH. Impressive neurological recovery and excellent functional outcome was observed with good psychomotor development and quality of life. To our knowledge, this is the first reported case of pediatric malignant ICA infarction due to penetrating arterial trauma with good neurologic outcome after DCH. Springer-Verlag Wien, 2015 Decompressive craniectomy nationallicence Hemicraniectomy nationallicence Malignant cerebral infarction nationallicence Pediatric nationallicence Children nationallicence Stroke nationallicence de Carvalho Bruno Department of Neurosurgery, Centro Hospitalar S. João, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal aut Chamadoira Clara Department of Neurosurgery, Centro Hospitalar S. João, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal aut Figueiredo Rita Department of Neuroradiology, Centro Hospitalar S. João, Porto, Portugal aut Pereira Josué Department of Neurosurgery, Centro Hospitalar S. João, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal aut Gaspar Luísa Department of Pediatric Intensive Care Unit, Centro Hospitalar S. João, Porto, Portugal aut Vaz Rui Department of Neurosurgery, Centro Hospitalar S. João, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal aut Acta Neurochirurgica Springer Vienna 157/12(2015-12-01), 2093-2097 0001-6268 157:12<2093 2015 157 701 https://doi.org/10.1007/s00701-015-2607-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-015-2607-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- de Carvalho Bruno Department of Neurosurgery, Centro Hospitalar S. João, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal aut NATIONALLICENCE 700 1- Chamadoira Clara Department of Neurosurgery, Centro Hospitalar S. João, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal aut NATIONALLICENCE 700 1- Figueiredo Rita Department of Neuroradiology, Centro Hospitalar S. João, Porto, Portugal aut NATIONALLICENCE 700 1- Pereira Josué Department of Neurosurgery, Centro Hospitalar S. João, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal aut NATIONALLICENCE 700 1- Gaspar Luísa Department of Pediatric Intensive Care Unit, Centro Hospitalar S. João, Porto, Portugal aut NATIONALLICENCE 700 1- Vaz Rui Department of Neurosurgery, Centro Hospitalar S. João, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/12(2015-12-01), 2093-2097 0001-6268 157:12<2093 2015 157 701