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자료유형
학술저널
저자정보
Hyuk-Jin Oh (Departement of Neurosurgery Soonchunhyang University Cheonan Hospital) Jai-Joon Shim (Department of Neurosurgery Soonchunhyang University Cheonan Hospital) Jae-Min Ahn (Department of Neurosurgery Soonchunhyang University Cheonan Hospital Cheonan Korea) Jae Sang Oh (Department of Neurosurgery Soonchunhyang University Cheonan Hospital) Seok Mann Yoon (Department of Neurosurgery Soonchunhyang University Cheonan Hospital)
저널정보
대한신경손상학회 Korean Journal of Neurotrauma Korean Journal of Neurotrauma Vol.18 No.2
발행연도
2022.10
수록면
335 - 340 (6page)
DOI
https://doi.org/10.13004/kjnt.2022.18.e28

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Cranioplasty-related reperfusion injury has rarely been reported. Although there are several hypotheses, particularly regarding the mechanisms of the event, clear evidence is lacking. Here, we report the case of an 84-year-old man with traumatic intracranial hemorrhage and subdural hematoma who underwent decompressive craniectomy and hematoma evacuation in the right hemisphere. After 45 days, cranioplasty was performed using titanium. A preoperative perfusion study with 99m-Tc-HMPAO brain single-photon emission tomography revealed diffuse hypoperfusion in the left cerebral hemisphere with decreased vascular reserve. After cranioplasty, multiple cerebral hemorrhages were observed on immediate postoperative computed tomography. Cerebral hemorrhage eventually improved without surgery. Here, we report a case with findings revealed through perfusion studies before and after surgery.

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