Bilateral decompressive craniectomy in pediatric patients: A systematic review
Yaxel Levin-Carrion, Kevin Titkov, Isabella Chamma, Ashutosh Gajbinker, Jayant Bhasin, Arman Sawhney, Daniel J Valdivia, Gabriela Carrillo, Daniela Alejandra Perez-Chadid, Drew Thibault, Alejandro Pando, Nemanja Novakovic, Hai Sun · 2026
Read Bilateral decompressive craniectomy in pediatric patients: A systematic review by Yaxel Levin-Carrion, Kevin Titkov, Isabella Chamma, Ashutosh Gajbinker, Jayant Bhasin, Arman Sawhney, Daniel J Valdivia, Gabriela Carrillo, Daniela Alejandra Perez-Chadid, Drew Thibault, Alejandro Pando, Nemanja Novakovic, Hai Sun (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13222325.txt.
Description
Yaxel Levin-Carrion and co-authors review skull-removal surgery on both sides of the head for children with uncontrolled brain pressure, in a 2026 systematic review. Pressure that resists medical treatment after brain injury can kill, and surgeons use several decompressive patterns. Four databases were searched under PRISMA rules for patients aged twenty-one or younger.
Only five studies fit the strict pediatric synthesis, including one small randomized pilot trial. Reports centered on severe traumatic injury and widespread brain swelling. Timing, pressure thresholds, technique, and outcome measures varied so much that pooling was impossible. The authors describe an evidence base too thin and uneven to settle when this last-resort surgery helps children most.
Catalog record
| CREATOR | Yaxel Levin-Carrion, Kevin Titkov, Isabella Chamma, Ashutosh Gajbinker, Jayant Bhasin, Arman Sawhney, Daniel J Valdivia, Gabriela Carrillo, Daniela Alejandra Perez-Chadid, Drew Thibault, Alejandro Pando, Nemanja Novakovic, Hai Sun |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 37 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |