Abstract

Cranioplasty, frequently utilizing autologous bone grafts, is a critical surgical intervention targeting the management of “syndrome of the trephined” in patients who have previously undergone craniectomy. This syndrome manifests as a spectrum of clinical symptoms, including persistent headaches, cognitive impairments, motor deficits, and diminished neurological function, which are primarily associated with compromised cranial vault integrity and resultant disturbances in intracranial pressure homeostasis and cerebrospinal fluid dynamics. Cranioplasty restores skull protection and intracranial pressure balance, which has been shown to contribute significantly to neurological improvements, including the reduction of neuropsychological deficits, better control of seizure activity, and partial mitigation of cerebral atrophy. This procedure thus plays a crucial role in enhancing cognitive and functional recovery in post-craniectomy patients. This report details the neuropsychological and functional assessments conducted pre- and post-operatively on a 27-year-old male patient who underwent cranioplasty after a prior craniectomy, which was necessitated by a subdural hemorrhage caused by an explosive incident, resulting in significant shrapnel wounds.

العنوان

Neurosurgery

الناشر

thieme

بلد الناشر

ألمانيا

نوع المنشور

مطبوع فقط

المجلد

44

السنة

2025

الصفحات

e153-e156