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Dekompressive Kraniektomie und Kranioplastie bei kindlichem Schädel-Hirn-Trauma

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Pädiatrische Neurochirurgie

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Zusammenfassung

Zweifellos kann die dekompressive Kraniektomie Leben retten und ist bei Kindern mit einem besseren Outcome verbunden als im Erwachsenenalter. Dennoch sollte die Indikation zur Dekompression kritisch und erst nach Ausschöpfen konservativer Maßnahmen gestellt werden, weil die operative Methode mit einem erheblichen Risikoprofil behaftet ist. Nicht zuletzt addiert sich zusätzlich das Risiko der Kranioplastie. Konkrete Empfehlungen aus der Literatur sind schwierig zu erhalten. Dies liegt nicht nur an den kleinen Fallzahlen, sondern vor allem an der fehlenden Vergleichbarkeit aufgrund unterschiedlicher Einschlusskriterien und dem retrospektiven Charakter der Studien. Es wäre wünschenswert, dieses problematische Thema Kraniektomie/Kranioplastie prospektiv hinsichtlich valider Risikofaktoren bei Kindern an einem ausreichend großen Patientenkollektiv zu untersuchen.

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Authors and Affiliations

  1. Sektion Pädiatrische Neurochirurgie, Universitätsklinikum Ulm, Albert-Einstein-Allee 29, Ulm, 89081, Deutschland

    Prof. Dr. med. A. Peraud

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  1. Prof. Dr. med. A. Peraud
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Correspondence to A. Peraud .

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Editors and Affiliations

  1. Sektionsleiterin Pädiatrische Neurochirurgie, Neurochirurgische Klinik Universitätsklinikum, Heidelberg, Germany

    Heidi Bächli

  2. Universitätskinderklinik beider Basel (UKBB), Binningen, Switzerland

    Jürg Lütschg

  3. Chefärztin der Abteilung Kinderneurochirurgie Asklepios Kinderklinik, Sankt Augustin, Germany

    Martina Messing-Jünger

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Peraud, A. (2018). Dekompressive Kraniektomie und Kranioplastie bei kindlichem Schädel-Hirn-Trauma. In: Bächli, H., Lütschg, J., Messing-Jünger, M. (eds) Pädiatrische Neurochirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48700-6_55

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  • DOI: https://doi.org/10.1007/978-3-662-48700-6_55

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48699-3

  • Online ISBN: 978-3-662-48700-6

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