Download Cranioplasty: Indications, Techniques, and Results by Dragoslav Stula M.D. (auth.) PDF

By Dragoslav Stula M.D. (auth.)

This monograph offers a accomplished evaluation of the scientific adventure in surgical fix of cranial defects which the writer has won in the course of a interval of over ten years. specific difficulties of sufferers present process cranioplasty, corresponding to neurological impairments, EEG alterations, adaptations of intracranial strain, and sinking epidermis flap syndrome are defined and mentioned. the writer offers convincing proof of the significance of cranioplasty in bettering the standard of lifetime of sufferers with huge and disfiguring cranial defects. regrettably, cranioplasty nonetheless ameliorates simply to a minimum quantity the final in sufferers discomfort of significant cerebral lesions. i'm confident that this quantity will serve the aim it used to be designed for : that it'll be a so much precious advent into the issues regarding reconstructive surgical procedure. Basel, August 1984 Otmar Gratzl Contents creation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 A. background of Cranioplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . three B. scientific features of Cranial Bone Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 I. starting place of Cranial Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 1. obtained Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2. Congenital Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . nine three. Demographic and different features of sufferers . . . . . . . . . . . . . . . . . nine II. Neurological and Psychic adjustments prior to and After Cranioplasty . . . . . . . eleven 1. type of Neurological Deficits and of the outside Flap varieties . . . . . thirteen 2. The "Sinking epidermis Flap Syndrome" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . sixteen three. The impression of Cranioplasty Upon Neurological and Psychic alterations 17 III. Electroencephalographic (EEG) adjustments in sufferers with Cranial Defects 21 1. EEG Recordings and Casuistic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 2. evaluate of EEG adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 IV. Scintigraphy Findings in sufferers with Cranial Bone Defects . . . . . . . . . . . . 26 1. Casuistic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 2. effects and dialogue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Extra info for Cranioplasty: Indications, Techniques, and Results

Sample text

1t- . '. ~~. , ,~ ~~ • • • II ~. " • ~ ~ I .. ' _',4 '. ' ~' ~ '. -. ~~ . ~ 'I .. • . t '. "\1# ..... ~~, ~. (,; ~~ --:. ~ ~ .. ~~ ~. '.. ~. ,' ~~ ;~, 't ;- Fig. 17. A 55-year-old patient with a 6-month-old right temporo-parietal skull bone defect. Obvious delayed brain circulation on the right side. A radionuclide accumulation in the pitted skull defect region is visible in the last picture vascularized; it shows an increased blood- and, therefore, also an increased activity flow. Such findings, clearly indicating circulatory disturbances in the region of the uncovered and collapsed brain hemisphere, but showing a normal symmetrical perfusion pattern after cranioplasty, also confirm that cranioplasty 30 Clinical Aspects of Cranial Bone Defects Fig.

Thoroughful studies and analysis of this problem by means of computer tomography have shown that cranioplasty exerts a beneficial normalizing effect on intracranial changes in such cases. Even when a CT control is not possible Indications for Cranioplasty 49 in the early postoperative stage because of organizational or other reasons, several observations indicate that the correction of the lateral displacement may occur within a few days or, sometimes, immediately after cranioplasty [159] (Figs.

Cranioplasty 14 months later with the patient's own bone. Brain mass displacement and brain compression regressed. 1 Case Reports Case No 1: A 51-year-old patient suffered. from chronic subdural haematoma complicated by intraoperative bleeding. 38b Indications for Cranioplasty 51 infection. During the last months a marked brain collapse was accompanied by a considerable, progressive hemiparesis on the opposite side of the defect and by severe psychoorganic syndrome. All the symptoms almost completely regressed after the renewed repair of the defect.

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