Extensive Dural Ossification After Decompressive Posttraumatic Craniectomy: A Case Report and Review of the Literature

Guida, Lelio; Mazzoleni, Fabio; Bozzetti, Alberto; Sganzerla, Erik P.; Giussani, Carlo

doi:10.1016/j.wneu.2018.08.115

Cited by 7 publications

(5 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We identified 9 total articles documenting this phenomenon across all age groups, 6 of which occurred in patients aged 17 and below, and the youngest so far reported in the present case. [1][2][3][4][5][6] The remaining instances occurred in patients aged 18, 20, and 29, with various mechanisms of injury and patientspecific comorbidities. [7][8][9] Generally, pediatric patients, particularly those under 1 year of age, possess strong osteogenic potential for calvarial regrowth.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Reossification Following Craniectomy in a Pediatric Patient

Soliman

Sobti

Rao

et al. 2022

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

Spontaneous reossification following a cranial defect is described by only a few case reports. A 6-month-old male with epidural hematoma underwent decompressive craniotomy, subsequently complicated by scalp abscess requiring removal of the bone flap. On serial outpatient follow-up, the patient demonstrated near-complete resolution of cranial defect over the course of 18 months, thus deferring the need for future cranioplasty. Prior articles have identified this occurrence in children and young adults; however, the present case is the first to report of this phenomenon in an infant less than 1 year of age. A brief review of the literature is provided with the proposed physiologic underpinning for the spontaneous reossification observed. While prior studies propose that recranialization is mediated by contact with the dura mater and pericranium, new investigations suggest that calvarial bone repair is also mediated by stem cells from the suture mesenchyme.

show abstract

Section: Discussionmentioning

confidence: 99%

Spontaneous Reossification Following Craniectomy in a Pediatric Patient

Soliman

Sobti

Rao

et al. 2022

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

show abstract

“…One of these was in an 18-year-old patient who had undergone bilateral decompressive craniectomies[ 3 ] while the other was in a 6-year-old child who had undergone a bifrontal decompressive craniotomy. [ 4 ] In the first case[ 3 ] (as opposed to ours) duraplasty had incorporated artificial dural substitutes and in both[ 3 4 ] the calcifications too were also not dense enough to preclude cranioplasty as in ours.…”

mentioning

confidence: 91%

“…Osteogenesis in cranial defects and following cranial osteonecrosis has been documented in experiments in animals[ 1 2 ] where both dura and pericranium have been found to be responsible for laying down new bone more so if they were in contact with each other. Only two case reports of a similar occurrence after decompressive craniectomy for trauma[ 3 4 ] could be found in literature––curiously both in young patients. One of these was in an 18-year-old patient who had undergone bilateral decompressive craniectomies[ 3 ] while the other was in a 6-year-old child who had undergone a bifrontal decompressive craniotomy.…”

mentioning

confidence: 99%

Spontaneous calvarial regeneration following decompressive craniectomy obviating need for cranioplasty: A serendipitous occurrence

et al. 2021

View full text Add to dashboard Cite

“…Studies have shown that the human skull still maintains the ability of spontaneous ossification before the age of 2 and almost loses after 6 years old. [4][5][6][7] This study reported the case of an elderly male patient whose skull defect disappeared spontaneously after DC. Meanwhile, we collected other 11 similar cases of spontaneous skull regeneration from a literature search to explore the possible factors that affect skull regeneration.…”

Section: Introductionmentioning

confidence: 99%

Extensive skull ossification after decompressive craniectomy in an elderly patient

Yang¹,

Liang²,

Su³

2022

Medicine

View full text Add to dashboard Cite

Rationale: After severe traumatic brain injury, patients often present with signs of increased intracranial hypertension and partially require decompressive craniectomies. Artificial materials are usually required to repair skull defects and spontaneous skull ossification is rarely observed in adults.Patient concerns: This study reported a 64-year-old man was admitted to the hospital with a coma due to a traffic accident.Diagnosis: Emergency computed tomography (CT) examination upon admission showed a left temporo-occipital epidural hematoma with a cerebral hernia and skull fracture.Interventions: The patient underwent urgent craniotomy for hematoma removal and decompression under general anesthesia. The patient was discharged after 1 month of treatment.Outcomes: The patient returned to the hospital for skull repair 145 days after the craniotomy. Pre-operative CT showed island skull regeneration in the skull defect area; therefore, skull repair was postponed after clinical evaluation. Regular follow-up is required. Twenty-three months after surgery, head CT showed that the new skull had completely covered the defect area.Lesson: We collected other 11 similar cases of spontaneous human skull regeneration in a literature search to analyze the possible factors impacting skull regeneration. The analysis of the cases indicated that maintaining the integrity of the periosteum, dura, and blood vessels during craniotomy may play an important role in skull regeneration. Skull regeneration predominantly occurs in young patients with rapid growth and development; therefore, an appropriate postponement of the cranioplasty time under close monitoring could be considered for young patients with skull defects.

show abstract

Extensive Dural Ossification After Decompressive Posttraumatic Craniectomy: A Case Report and Review of the Literature

Cited by 7 publications

References 23 publications

Spontaneous Reossification Following Craniectomy in a Pediatric Patient

Spontaneous Reossification Following Craniectomy in a Pediatric Patient

Spontaneous calvarial regeneration following decompressive craniectomy obviating need for cranioplasty: A serendipitous occurrence

Extensive skull ossification after decompressive craniectomy in an elderly patient

Contact Info

Product

Resources

About