지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 365 - 370 (6page)
이용수
초록· 키워드
오류제보하기
The syndrome of the trephined is a neurologic phenomenon that manifests as sudden decline in cognition, behavior, and sensorimotor function due to loss of intracranial domain. This scenario typically occurs in the setting of large craniectomy defects, resulting from trauma, infection, and/or oncologic extirpation. Cranioplasty has been shown to reverse these symptoms by normalizing cerebral hemodynamics and metabolism. However, successful reconstruction may be difficult in patients with complex and/or hostile calvarial defects. We present the case of a 48-year-old male with a large cranial bone defect, who failed autologous cranioplasty secondary to infection, and developed rapid neurologic deterioration leading to a near-vegetative state. Following debridement and antibiotic therapy, delayed cranioplasty was accomplished using a polyetheretherketone (PEEK) implant with free chimeric latissimus dorsi/serratus anterior myocutaneous flap transfer for vascularized resurfacing. Significant improvements in cognition and motor skill were noted in the early postoperative period. At 6-month follow-up, the patient had regained the ability to speak, ambulate and self-feed-correlating with evidence of cerebral/ventricular re-expansion on computed tomography. Based on our findings, we advocate delayed alloplastic implantation with total vascularized soft tissue coverage as a viable alternative for reconstructing extensive, hostile calvarial defects in patients with the syndrome of the trephined.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Ashayeri K / 2016 / Syndrome of the trephined : a systematic review / Neurosurgery 79:525~534
Hagan M / 2017 / Syndrome of the trephined : functional improvement after reconstruction of large cranial vault defects / J Craniofac Surg 28:1129~1130
Jeyaraj P / 2015 / Importance of early cranioplasty in reversing the “Syndrome of the Trephine/Motor Trephine Syndrome/Sinking Skin Flap Syndrome” / J Maxillofac Oral Surg 14:666~673
Fong AJ / 2015 / Reconstructive approach to hostile cranioplasty : a review of the University of Chicago experience / J Plast Reconstr Aesthet Surg 68:1036~1043
Lee JC / 2013 / Autologous immediate cranioplasty with vascularized bone in high-risk composite cranial defects / Plast Reconstr Surg 132:967~975
Hagan M / 2017 / Syndrome of the trephined : functional improvement after reconstruction of large cranial vault defects / J Craniofac Surg 28:1129~1130
Jeyaraj P / 2015 / Importance of early cranioplasty in reversing the “Syndrome of the Trephine/Motor Trephine Syndrome/Sinking Skin Flap Syndrome” / J Maxillofac Oral Surg 14:666~673
Fong AJ / 2015 / Reconstructive approach to hostile cranioplasty : a review of the University of Chicago experience / J Plast Reconstr Aesthet Surg 68:1036~1043
Lee JC / 2013 / Autologous immediate cranioplasty with vascularized bone in high-risk composite cranial defects / Plast Reconstr Surg 132:967~975
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