Postcranioplasty Quantitative Assessment of Intracranial Fluid Dynamics and Its Impact on Neurocognition Cranioplasty Effect: A Pilot Study

Panwar, Naresh; Agrawal, Manish; Sinha, Virendra Deo

doi:10.1016/j.wneu.2018.09.108

Cited by 16 publications

(14 citation statements)

References 18 publications

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“…Second, patients performed neuropsychological rehabilitation during the hospitalization, which promoted an improvement in cognitive function [26][27][28]. Therefore, part of the recovery could be due to such specific training.…”

Section: Discussionmentioning

confidence: 99%

Can Cranioplasty Be Considered a Tool to Improve Cognitive Recovery Following Traumatic Brain Injury? A 5-Years Retrospective Study

Corallo

Buono

Calabrò

et al. 2021

JCM

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Cranioplasty (CP) is a neurosurgical intervention of skull repairing following a decompressive craniectomy. Unfortunately, the impact of cranioplasty on cognitive and motor function is still controversial. Fifteen TBI subjects aged 26–54 years with CP after decompressive craniectomy were selected in this observational retrospective study. As per routine clinical practice, a neuropsychological evaluation carried out immediately before the cranioplasty (Pre CP) and one month after the cranioplasty (T0) was used to measure changes due to CP surgery. This assessment was performed each year for 5 years after discharge in order to investigate long-term cognitive changes (T1-T5). Before cranioplasty, about 53.3% of subjects presented a mild to severe cognitive impairment and about 40.0% a normal cognition. After CP, we found a significant improvement in all neuropsychological test scores. The more significant differences in cognitive recovery were detected after four years from CP. Notably, we found significant differences between T4 and T0-T1, as well as between T5 and T0-T1-T2 in all battery tests. This retrospective study further suggests the importance of CP in the complex management of patients with TBI showing how these patients might improve their cognitive function over a long period after the surgical procedure.

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Section: Discussionmentioning

confidence: 99%

Can Cranioplasty Be Considered a Tool to Improve Cognitive Recovery Following Traumatic Brain Injury? A 5-Years Retrospective Study

Corallo

Buono

Calabrò

et al. 2021

JCM

View full text Add to dashboard Cite

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“…5,7 However, there are few studies dedicated to cognitive and neurologic assessments after cranioplasty. 6,8,19–23 The findings of Paredes et al support that cranioplasty is not only cosmetic, but also therapeutic by improved scores on the National Institutes of Health stroke scale and Barthel Self-Care Index in a series of 55 cranioplasties following decompressive craniectomy. 24 However, this has not been evaluated in patients after partial reconstruction of calvarial defects with LDRF.…”

Section: Discussionmentioning

confidence: 95%

Outcomes of Calvarial and Soft Tissue Reconstruction with Latissimus Dorsi Rib Osteomyocutaneous Free Flap

Gharb

Meyers

Rezaei

et al. 2023

Plastic &Amp; Reconstructive Surgery

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ultiple reconstructive techniques are available to restore composite scalp and skull defects. The method of choice is based mainly on the size of the defect and quality of the soft-tissue envelope. 1,2 Free tissue transfer should be considered in patients with a history Background: The latissimus dorsi-rib osteomyocutaneous free flap (LDRF) has been used for autologous reconstruction of large composite calvarial and scalp defects. In this study, the authors aim to present clinical and patient-reported outcomes after LDRF reconstruction. Methods: An anatomical study was conducted to evaluate the distribution of the connecting perforators between the thoracodorsal and intercostal systems. An institutional review board-approved retrospective review of 10 patients who underwent LDRF with one or two ribs for treatment of cranial defects was conducted. Patient-reported outcomes regarding quality of life, neurologic status, and functional status were evaluated using validated surveys. One-way analysis of variance and post hoc Tukey tests were used for anatomical outcomes. Preoperative and postoperative scores were compared using paired t tests. Results: The tenth rib (4.65 ± 2.01) followed by the ninth rib (3.7 ± 1.63) had the highest number of perforators. A combination of the ninth and eleventh ribs exhibited maximal perforator number and pedicle length. All patients had stable LDRF reconstructions. Eight patients completed both preoperative and postoperative questionnaires; Median clinical follow-up was 48 months (range, 34 to 70 months). Scores trended toward improvement but did not reach statistical significance on the Karnofsky Performance Scale (P = 0.22), the Functional Independence Measure (Motor, P = 0.52; Cognitive, P = 0.55), or the Headache Disability Index (P = 0.38). The minimum clinically important difference was surpassed, demonstrating improvement of function for 71% of patients on the Barthel Index and 63% on the Selective Functional Movement Assessment test. Conclusion:The LDRF can improve cognitive and physical functional status in complex patients with prior failed reconstructions for composite scalp and skull defects.

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“…Well-documented benefits come with an early cranioplasty. [17][18][19][20] We propose to wait for the birth and maternal recovery first when possible, being well aware of the higher risk of aseptic bone flap necrosis. Decompressive Craniectomy in Pregnant Women García et al…”

Section: Discussionmentioning

confidence: 99%

Decompressive Craniectomy in Pregnant Women

García

Zapata

Alfonso

et al. 2021

J Neurol Surg A Cent Eur Neurosurg

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Malignant middle cerebral artery (MCA) infarction warranting decompressive craniectomy (DC) is unusual in the population younger than 40 years. Specifically, only a few cases affecting pregnant women have been described in the literature. We present the case of a 39-year-old woman in the 24th week of pregnancy who suffered a right malignant MCA infarction that eventually required DC. The patient delivered a healthy baby and underwent a second surgery for cranioplasty 7 months later. We present both this case and a review of the literature, including all cases of DC in pregnant women published to date.

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Postcranioplasty Quantitative Assessment of Intracranial Fluid Dynamics and Its Impact on Neurocognition Cranioplasty Effect: A Pilot Study

Cited by 16 publications

References 18 publications

Can Cranioplasty Be Considered a Tool to Improve Cognitive Recovery Following Traumatic Brain Injury? A 5-Years Retrospective Study

Can Cranioplasty Be Considered a Tool to Improve Cognitive Recovery Following Traumatic Brain Injury? A 5-Years Retrospective Study

Outcomes of Calvarial and Soft Tissue Reconstruction with Latissimus Dorsi Rib Osteomyocutaneous Free Flap

Decompressive Craniectomy in Pregnant Women

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