volume 39, issue 8, P624-627 2011
DOI: 10.1016/j.jcms.2010.11.014
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Hitoshi Yamahata, Hiroshi Tokimura, Jun-ichi Kuratsu, Akihisa Sakamoto, Nozomu Matsuyama, Ryuji Awa, Kazunori Arita

Abstract: We report the case of a 49-year-old man who underwent a craniectomy for severe head trauma and subsequent cranioplasty with polymethylmethacrylate. He was discharged with moderate right-hand weakness. Five years after the cranioplasty he experienced double vision and slight right hemiparesis. Magnetic resonance imaging (MRI) revealed signs of tentorial herniation but no specific space-occupying lesions. The hand-moulded polymethylmethacrylate bone flap was found to be uneven and protrusions on the inner surfac…

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