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Correspondingly, the procedure is increasingly utilised worldwide. The number of patients rendered vegetative following surgery has been a concern\u2014a matter especially important in children, due to long anticipated lifetime. Here, we report the long-term outcomes of all paediatric DC patients from an 11-year period in a tertiary-level centre that geographically serves half of Finland.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We identified all patients younger than 18\u00a0years who underwent DC in the Oulu University Hospital between the years 2009 and 2019. Outcomes and clinicoradiological variables were extracted from the patient records.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Mean yearly prevalence of brain injury requiring DC was 1.34\/100\u00a0000 children\u2014twenty-four patients underwent DC during the study period and 21 (88%) survived. The median age of the patients was 16.0\u00a0years, and the median preoperative GCS was 5.0 (IQR 5.0). Fifteen patients (63%) had made a good recovery (Extended Glasgow Outcome Scale\u2009\u2265\u20097). Of the surviving patients, two (9.5%) had not returned to school. After traumatic brain injury (<jats:italic>n<\/jats:italic>\u2009=\u200920), the Rotterdam CT score (mean 3.0, range 1 to 5) was not associated with mortality, poor recovery or inability to continue school (<jats:italic>p<\/jats:italic>\u2009=\u20090.13, <jats:italic>p<\/jats:italic>\u2009=\u20090.41, <jats:italic>p<\/jats:italic>\u2009=\u20090.43, respectively). Absent basal cisterns were associated with mortality (<jats:italic>p<\/jats:italic>\u2009=\u20090.005), but not with poor recovery if the patient survived DC (<jats:italic>p<\/jats:italic>\u2009=\u20090.81). Hydrocephalus was associated with poor recovery and inability to continue school (<jats:italic>p<\/jats:italic>\u2009=\u20090.01 and <jats:italic>p<\/jats:italic>\u2009=\u20090.03, respectively).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Most of our patients made a favourable recovery and were able to continue school. No late mortality was observed. Thus, even in clinically and radiologically severely brain-injured children, decompressive craniectomy appears to yield favourable outcomes.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00381-022-05568-7","type":"journal-article","created":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T03:31:49Z","timestamp":1656041509000},"page":"1763-1772","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Favourable long-term recovery after decompressive craniectomy: the Northern Finland experience with a predominantly adolescent patient cohort"],"prefix":"10.1007","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5500-9200","authenticated-orcid":false,"given":"Tommi K.","family":"Korhonen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Suo-Palosaari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willy","family":"Serlo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maija J.","family":"Lahtinen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sami","family":"Tetri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niina","family":"Salokorpi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,6,24]]},"reference":[{"key":"5568_CR1","doi-asserted-by":"publisher","first-page":"1119","DOI":"10.1056\/NEJMoa1605215","volume":"375","author":"PJ Hutchinson","year":"2016","unstructured":"Hutchinson PJ, Kolias AG, Timofeev IS et al (2016) Trial of decompressive craniectomy for traumatic intracranial hypertension. 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