Complication of a large cranial defect. Case report.
A patient with acute subdural hematoma was successfully treated with hemicraniectomy. He developed contralateral weakness 4 months after surgery which was reversed by cranioplasty. The presumptive mechanism is a gradient between atmospheric and intracranial pressure. Early cranioplasty is suggested to prevent this phenomenon.
D000328:Adult; D003399:Craniotomy / Q000009:adverse effects*; D006429:Hemiplegia / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D011183:Postoperative Complications