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

By Dragoslav Stula M.D. (auth.)

ISBN-10: 3709187621

ISBN-13: 9783709187623

ISBN-10: 3709187648

ISBN-13: 9783709187647

This monograph provides a entire evaluate of the medical event in surgical fix of cranial defects which the writer has received in the course of a interval of over ten years. specific difficulties of sufferers present process cranioplasty, akin to neurological impairments, EEG alterations, diversifications of intracranial strain, and sinking dermis flap syndrome are defined and mentioned. the writer provides convincing facts of the significance of cranioplasty in enhancing the standard of lifetime of sufferers with huge and disfiguring cranial defects. regrettably, cranioplasty nonetheless ameliorates simply to a minimum quantity the overall situation 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 such a lot precious creation into the issues with regards to reconstructive surgical procedure. Basel, August 1984 Otmar Gratzl Contents creation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 A. historical past of Cranioplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . three B. medical features of Cranial Bone Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 I. starting place of Cranial Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 1. received Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2. Congenital Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . nine three. Demographic and different features of sufferers . . . . . . . . . . . . . . . . . nine II. Neurological and Psychic alterations prior to and After Cranioplasty . . . . . . . eleven 1. type of Neurological Deficits and of the surface Flap varieties . . . . . thirteen 2. The "Sinking epidermis Flap Syndrome" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . sixteen three. The effect 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. review of EEG alterations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 IV. Scintigraphy Findings in sufferers with Cranial Bone Defects . . . . . . . . . . . . 26 1. Casuistic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 2. effects and dialogue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Additional resources for Cranioplasty: Indications, Techniques, and Results

Sample text

R--,_ - - - -___ ~~........ , . -. ; - - . , . . , Fig. 14. " . r-~ . -.. ,-. ... , . -~-;_! - ..... """'t~t+rj ;,. ~~ -------------------- ""'....... l (l> "0 ~ ~ ri' (j "'" Electroencephalographic Changes in Patients with Cranial Defects 25 Of 4 patients with operated vascular deformities (3 basal aneurysms and 1 A V -fistula) general improvement was verified in 3 cases in which the pre-existing focal disturbances disappeared. In the remaining case, however, the EEG curve did not show any marked change after the cranioplasty.

33 Intracranial Pressure Changes Before and After Cranioplasty The consequences of intracranial hypertension were already recognized in 1870 by Durett and by Cushing at the beginning of this century [7]. However, although of great importance, clinical recognition of intracranial hypertension is not often reliable [58]. For example, patients with slow growing brain tumours and a high intracranial pressure (ICP) may show only few clinical changes [7]. Recent introduction of continuous monitoring of intracranial pressure, which is independent of the subjective assessments of the physician, has not only enlarged the knowledge of pathogenesis, symptomatology and therapy of intracranial hypertension, but also partially allowed its correction.

22. A built-in pressure measuring device (Stratham) with electronic recorder 1. 7%) patients suitable for this method (no severe psychic changes, good general condition and good quality of the scalp). 8 years; the youngest was 19, the oldest 65 years old; 8 were males and 4 were females. In 3 patients the cranial defect was a consequence of a wound infection after a basal aneurysm operation, 2 patients had open craniocerebral injuries, and 7 patients an acute subdural haematoma with pronounced brain oedema.

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


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