Use of tissue glue to prevent collapse of the cortical mantle during and after cranial surgery in children: a technical note

Corticotomy closure avoids subdural collections after hemispherotomy

BACKGROUND

Subdural collection is a possible adverse event that can occur after hemispherotomy.

OBJECTIVE

: We describe our surgical technique to avoid subdural collection after peri-insular hemispherotomy in children.

METHODS

Since 2008, we have closed the corticotomy with interrupted pial sutures and fibrinogen glue in 16 patients.

RESULTS

This operative technique stopped the occurrence of postoperative subdural collection and was not associated with an increased incidence of postoperative hydrocephalus.

CONCLUSION

We recommend closing ventricular access after functional hemispherotomy, notably in patients who have had a stroke.