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Paediatric neurosurgery 

Paediatric neurosurgery
Chapter:
Paediatric neurosurgery
Author(s):

RD Johnson

, P Richards

, J Jayamohan

, and S Sinha

DOI:
10.1093/med/9780199674022.003.0006
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date: 20 February 2020

Paediatric neurosurgery is a complex subspecialty that does not lend itself easily to large clinical trials. In this chapter, four studies that highlight different aspects of the kinds of problems faced by the paediatric neurosurgical discipline have been chosen for inclusion. Firstly, a trial of diuretic therapy for post-haemorrhagic ventricular dilatation in premature infants is considered. The second study considered is the Shunt Design Trial, which is one of the very few randomized trials that examines neurosurgical devices. The third study is a single-centre randomized trial addressing the role of decompressive craniectomy in paediatric head injury. The final study included in this chapter is one of the largest multi-centre trials carried out in paediatric neurosurgical patients, which examines the role of hypothermia in managing severe paediatric head injury.

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