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Craniectomy for acute disseminated encephalomyelitis


A 17-year-old girl underwent emergency bifrontal craniectomy for severely raised intracranial pressure with brainstem compression, having developed acute disseminated encephalomyelitis (ADEM) following Epstein-Barr virus infection. We discuss the current evidence for craniectomy in both ADEM and infective encephalitis and propose an approach to management.

  • Clinical neurology
  • neurosurgery

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  • Editors’ commentary
    Phil E M Smith Geraint N Fuller

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