OBJECTIVE: The syndrome of the trephined is a rare complication observed following a unilateral decompressive craniectomy for traumatic brain injury. What has not been previously reported is the occurrence of this complication following a bifrontal procedure. The objective of this study was to present two clinical cases that serve to highlight this condition. DESIGN: A case study of two patients who had had a bifrontal decompressive craniectomy for severe traumatic brain injury. METHOD: A review was undertaken detailing the clinical course of the two patients. RESULTS: Both cases were young males. They had initially made significant improvement in their functional and cognitive performance whilst undergoing rehabilitation. However, after some months they demonstrated marked deterioration. Immediately following cranioplasty they showed considerable clinical improvement. CONCLUSION: If the use of bifrontal decompressive craniectomies continues to increase it is important that those involved in the rehabilitation process are familiar with this rare condition. Early recognition is important so that patients can receive timely intervention and it also avoids valuable health resources being allocated to patients who cannot receive maximal benefit.
OBJECTIVE: The syndrome of the trephined is a rare complication observed following a unilateral decompressive craniectomy for traumatic brain injury. What has not been previously reported is the occurrence of this complication following a bifrontal procedure. The objective of this study was to present two clinical cases that serve to highlight this condition. DESIGN: A case study of two patients who had had a bifrontal decompressive craniectomy for severe traumatic brain injury. METHOD: A review was undertaken detailing the clinical course of the two patients. RESULTS: Both cases were young males. They had initially made significant improvement in their functional and cognitive performance whilst undergoing rehabilitation. However, after some months they demonstrated marked deterioration. Immediately following cranioplasty they showed considerable clinical improvement. CONCLUSION: If the use of bifrontal decompressive craniectomies continues to increase it is important that those involved in the rehabilitation process are familiar with this rare condition. Early recognition is important so that patients can receive timely intervention and it also avoids valuable health resources being allocated to patients who cannot receive maximal benefit.
Authors: Lana Vasung; Marion Hamard; Maria Carmen Alcaraz Soto; Samuel Sommaruga; Lukas Sveikata; Beatrice Leemann; Maria Isabel Vargas Journal: Neuroradiology Date: 2016-02-23 Impact factor: 2.804
Authors: Kingsley O Abode-Iyamah; Hsiu-Yin Chiang; Nolan Winslow; Brian Park; Mario Zanaty; Brian J Dlouhy; Oliver E Flouty; Zachary D Rasmussen; Loreen A Herwaldt; Jeremy D Greenlee Journal: J Neurosurg Date: 2017-05-12 Impact factor: 5.115
Authors: Kacper Kroczek; Paweł Turek; Damian Mazur; Jacek Szczygielski; Damian Filip; Robert Brodowski; Krzysztof Balawender; Łukasz Przeszłowski; Bogumił Lewandowski; Stanisław Orkisz; Artur Mazur; Grzegorz Budzik; Józef Cebulski; Mariusz Oleksy Journal: Polymers (Basel) Date: 2022-04-09 Impact factor: 4.967
Authors: Igor Paredes; Ana María Castaño; Santiago Cepeda; Jose Antonio Fernández Alén; Elena Salvador; Jose María Millán; Alfonso Lagares Journal: J Neurotrauma Date: 2016-01-28 Impact factor: 5.269
Authors: Juan Pablo Borges Rodrigues Maricevich; Auricelio Batista Cezar; Edilson Xavier de Oliveira; Jose Arthur Morais Veras E Silva; Renata Souza Maricevich; Nivaldo Sena Almeida; Hildo Rocha Cirne Azevedo-Filho Journal: Surg Neurol Int Date: 2018-08-22
Authors: Luca Sebastianelli; Verena Stoll; Viviana Versace; Sara Martignago; Stephan Obletter; Marco Lavoriero; Kathrin Malfertheiner; Gertraud Gisser; Leopold Saltuari Journal: Case Rep Neurol Med Date: 2015-10-27