Symptomatic patients after craniectomy

Symptomatic patients after craniectomy
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DOI:
10.1016/s0090-3019(96)00376-x
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发表时间:
1997-03-01
期刊:
影响因子:
--
通讯作者:
Pollak, L
Pollak, L
中科院分区:
其他
文献类型:
--
作者:
Schiffer, J;Gur, R;Pollak, L

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神经外科中的各种外科手术都会导致颅顶缺损。一般认为,颅骨缺损修复的原因是美容性的或保护性的。然而,有证据表明,在某些情况下,神经功能恶化可以通过颅骨成形术逆转。在下沉头皮瓣综合征中,恶化被认为与继发于大气压的皮瓣和底层脑组织的凹陷以及大脑通过颅骨缺损的进出移位有关。据报道,有 5 例颅骨切除术后出现症状的患者,其中所有患者均出现神经功能恶化,但通过颅骨成形术得到了改善。 (C) 1997 年,爱思唯尔科学公司。
Various surgical procedures in neurosurgery end with cranial vault defects. It is generally believed that the reason for repair of the skull defect is cosmetic or protective. There is evidence, however, that in selected cases neurologic deterioration can be reversed by cranioplasty. In the sinking scalp flap syndrome the deterioration has been thought to be related to the concavity of the skin flap and underlying brain tissue secondary to atmospheric pressure and also to the in-and-out displacement of the brain through the skull defect. Five cases of symptomatic patients after craniectomy are reported, of which all had a neurologic deterioration that was improved by cranioplasty. (C) 1997 by Elsevier Science Inc.