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Craniectomy for acute disseminated encephalomyelitis
  1. David Bourke1,
  2. Kelvin Woon2
  1. 1Neurology, Wellington Hospital, Newtown, New Zealand
  2. 2Neurosurgery, Wellington Hospital, Newtown, New Zealand
  1. Correspondence to David Bourke, Neurology Department, CMU, Wellington Hospital, Riddiford Street, Newtown 6021, New Zealand; david.bourke{at}


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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  • Contributors KW contributed to planning, analysis, reporting and editing of this manuscript. DB contributed to conception, planning, analysis, reporting and writing of this manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Consent obtained directly from patient(s).

  • Provenance and peer review Not commissioned; externally peer reviewed by Alasdair Coles, Cambridge UK.

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  • Editors’ commentary
    Phil E M Smith Geraint N Fuller

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