Comprehensive cognitive and cerebral hemodynamic evaluation after cranioplasty.
Decompressive craniectomy is an established procedure to lower intracranial pressure and can save patients' lives. However, this procedure is associated with delayed cognitive decline and cerebral hemodynamics complications. Studies show the benefits of cranioplasty beyond cosmetic aspects, including brain protection, and functional and cerebrovascular aspects, but a detailed description of the concrete changes following this procedure are lacking. In this paper, the authors report a patient with trephine syndrome who underwent cranioplasty; comprehensive cognitive and cerebral hemodynamic evaluations were performed prior to and following the cranioplasty. The discussion was based on a critical literature review.
Neurorehabilitation Group, Division of Neurology, University of São Paulo Medical School, São Paulo, Brazil.
Fernanda
F
Coelho
Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil.
Arthur Maynart
AM
Oliveira
Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil.
Wellingson Silva
WS
Paiva
Neurorehabilitation Group, Division of Neurology, University of São Paulo Medical School, São Paulo, Brazil.
Fabio Rios
FR
Freire
Neurorehabilitation Group, Division of Neurology, University of São Paulo Medical School, São Paulo, Brazil.
Vanessa Tome
VT
Calado
Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil.
Robson Luis
RL
Amorim
Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil.
Iuri Santana
IS
Neville
Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil.
Almir Ferreira
AF
de Andrade
Neurosonology and Cerebral Hemodynamics Group, University of São Paulo Medical School, São Paulo, Brazil.
Edson
E
Bor-Seng-Shu
Neurorehabilitation Group, Division of Neurology, University of São Paulo Medical School, São Paulo, Brazil.
Renato
R
Anghinah
Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil.
Manoel Jacobsen
MJ
Teixeira
cognition; cranioplasty; decompressive craniotomy; neuropsychological test; perfusion CT; traumatic brain injury