Cranioplasty and the Post-Traumatic Syndrome

Grantham, Everett G.; Landis, Harry P.

doi:10.3171/jns.1948.5.1.0019

Cited by 66 publications

(34 citation statements)

References 9 publications

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“…Along with other authors [5,6], they differentiated this condition from ''the post-traumatic syndrome'' [7], which were related to subjective symptoms and not objective neurological deficits. Fodstad et al [8] believed that only symptoms reduced or relieved by cranioplasty should be included in the definition of ST.…”

Section: Discussionmentioning

confidence: 80%

Importance of Early Cranioplasty in Reversing the “Syndrome of the Trephine/Motor Trephine Syndrome/Sinking Skin Flap Syndrome”

Jeyaraj

2014

J. Maxillofac. Oral Surg.

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Section: Discussionmentioning

confidence: 80%

Importance of Early Cranioplasty in Reversing the “Syndrome of the Trephine/Motor Trephine Syndrome/Sinking Skin Flap Syndrome”

Jeyaraj

2014

J. Maxillofac. Oral Surg.

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“…Thereafter a number of terms have been suggested that describe what a different manifestation of the same condition is in effect,. Grantham used the term "the post traumatic syndrome" to describe similar subjective symptoms to that of "syndrome of the trephined [23]. Yamaura and Makino used the term "syndrome of the sinking scalp flap" to describe the objective focal neurological deficits that can occur in patients with a hemicraniectomy defect [24].…”

Section: Neurological Impairment Secondary To a Large Skull Defect -Hmentioning

confidence: 99%

Neurological Impairment due to a Large Skull Defect: Implications for Neurorehabilitation

Honeybul¹

2014

Int J Neurorehabilitation Eng

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In the classical descriptions patients who exhibit this type of signs and symptoms, do so after an initial period of improvement following the decompressive surgery. Thereafter as the scalp flap sinks there is a AbstractGiven the continued use of decompressive craniectomy in the management of neurological emergencies recognition of complications is important in order for patients to gain maximal benefit during rehabilitation. One complication that has received relatively little attention is the neurological dysfunction that can occur due to distortion of the brain under the scalp as cerebral oedema subsides.The neurological deterioration that can occur can take many forms and this is probably due to a multifactorial pathophysiology. Recognition of this condition is important if delays in the rehabilitation process are to be avoided. This review discusses the historical background, possible pathophysiological mechanisms, clinical incidence and implications for healthcare workers involved in neurorehabilitation.Neurological Impairment due to a Large Skull Defect: Implications for Neurorehabilitation Stephen HoneybulDepartment of Neurosurgery, Sir Charles Gairdner Hospital and Royal Perth Hospital, Western Australia In te rna tion a l J o u rn al of Ne u r o re h abi litat io n

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“…He called it the "syndrome of the trephined" and was the first to describe an improvement in the neurological function of some patients who underwent cranioplasty with tantalum. [11][12][13] Unexpected improvements in the neurological status and in activities of daily living after cranioplasty in patients who had undergone previous craniectomy due to uncontrollable intracranial hypertension have been shown in several studies. [13][14] The generally accepted explanation is that this neurological improvement might be due to a reduction of local cerebral compression effects by atmospheric pressure after cranioplasty, thereby increasing cerebral blood flow (CBF).…”

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confidence: 99%

Neuroprosthetic Rehabilitation of Acquired Skull Defects

Sharma¹

2011

International Journal of Prosthodontics and Restorative Dentistry

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Cranial defects can be broadly classified as congenital and acquired defects. Among the congenital defects, encephalocele is the most common cause while trauma, infections and tumors form the bulk of the acquired skull defects. There has been large number of cranial injuries occurring in this modern age requiring the skull reconstruction not only for rehabilitating the skull cosmesis but also improving the neurological status of the patient. The reconstruction of the cranial defects using alloplastic materials opens a new field for the prosthodontist, in which he can render a worth-while health service to the society. This article illustrates a case report of neuroprosthetic rehabilitation of a patient who had a road traffic accident sustaining multiple bone fractures, including skull followed by decompressive craniectomy and cranioplasty using a Titanium cranial prosthesis with prosthodontists and neurosurgeons working as a team, thereby improving his neurological status and cosmesis.

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Cranioplasty and the Post-Traumatic Syndrome

Cited by 66 publications

References 9 publications

Importance of Early Cranioplasty in Reversing the “Syndrome of the Trephine/Motor Trephine Syndrome/Sinking Skin Flap Syndrome”

Importance of Early Cranioplasty in Reversing the “Syndrome of the Trephine/Motor Trephine Syndrome/Sinking Skin Flap Syndrome”

Neurological Impairment due to a Large Skull Defect: Implications for Neurorehabilitation

Neuroprosthetic Rehabilitation of Acquired Skull Defects

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