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.

中文翻译：

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开颅手术治疗急性播散性脑脊髓炎


一名 17 岁女孩因感染 Epstein-Barr 病毒后出现急性播散性脑脊髓炎 (ADEM)，导致颅内压严重升高并伴有脑干受压，接受了紧急双额颅骨切除术。我们讨论了 ADEM 和感染性脑炎开颅手术的当前证据，并提出了一种治疗方法。