Hemicraniectomy to reduce raised intracranial pressure in a child with acute disseminated encephalomyelitis

We report the case of a 14-year-old boy with acute disseminated encephalomyelitis who, rapidly deteriorated while on intravenous methylprednisolone. Emergency hemicraniectomy had to be done to control the raised intracranial pressure when the conventional methods failed to achieve a reduction in intracranial pressure.