Cranioplasty as a Catalyst for Neurofunctional and Emotional Restoration in Severe Brain Injury: A Case Report Analysis
Cranioplasty, frequently utilizing autologous bone grafts, is a critical surgical intervention targeting the management of “syndrome of the trephined” in patients who have previously undergone craniectomy. This syndrome manifests as a spectrum of clinical symptoms, including persistent headaches, co...
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| Format: | Article |
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Thieme Revinter Publicações Ltda.
2025-06-01
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| Series: | Brazilian Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1809639 |
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| author | Jamal Qaddumi Ahmad Eshtaya Rola Khalid Mosbah Alawneh Nadeen Salman |
| author_facet | Jamal Qaddumi Ahmad Eshtaya Rola Khalid Mosbah Alawneh Nadeen Salman |
| author_sort | Jamal Qaddumi |
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| description | Cranioplasty, frequently utilizing autologous bone grafts, is a critical surgical intervention targeting the management of “syndrome of the trephined” in patients who have previously undergone craniectomy. This syndrome manifests as a spectrum of clinical symptoms, including persistent headaches, cognitive impairments, motor deficits, and diminished neurological function, which are primarily associated with compromised cranial vault integrity and resultant disturbances in intracranial pressure homeostasis and cerebrospinal fluid dynamics. Cranioplasty restores skull protection and intracranial pressure balance, which has been shown to contribute significantly to neurological improvements, including the reduction of neuropsychological deficits, better control of seizure activity, and partial mitigation of cerebral atrophy. This procedure thus plays a crucial role in enhancing cognitive and functional recovery in post-craniectomy patients. This report details the neuropsychological and functional assessments conducted pre- and post-operatively on a 27-year-old male patient who underwent cranioplasty after a prior craniectomy, which was necessitated by a subdural hemorrhage caused by an explosive incident, resulting in significant shrapnel wounds. |
| format | Article |
| id | doaj-art-737e8a3bc37845e9a5617fc2b7282b34 |
| institution | Kabale University |
| issn | 0103-5355 2359-5922 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Brazilian Neurosurgery |
| spelling | doaj-art-737e8a3bc37845e9a5617fc2b7282b342025-08-20T03:50:39ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222025-06-014402e153e15610.1055/s-0045-1809639Cranioplasty as a Catalyst for Neurofunctional and Emotional Restoration in Severe Brain Injury: A Case Report AnalysisJamal Qaddumi0https://orcid.org/0000-0001-6984-3020Ahmad Eshtaya1Rola Khalid2Mosbah Alawneh3Nadeen Salman4Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, PalestineCritical Care Unit, Al Arabi Specialized Hospital, Nablus, PalestineAn-Najah National University, Nablus, PalestineCritical Care Unit, Al Arabi Specialized Hospital, Nablus, PalestineAn-Najah National University, Nablus, PalestineCranioplasty, frequently utilizing autologous bone grafts, is a critical surgical intervention targeting the management of “syndrome of the trephined” in patients who have previously undergone craniectomy. This syndrome manifests as a spectrum of clinical symptoms, including persistent headaches, cognitive impairments, motor deficits, and diminished neurological function, which are primarily associated with compromised cranial vault integrity and resultant disturbances in intracranial pressure homeostasis and cerebrospinal fluid dynamics. Cranioplasty restores skull protection and intracranial pressure balance, which has been shown to contribute significantly to neurological improvements, including the reduction of neuropsychological deficits, better control of seizure activity, and partial mitigation of cerebral atrophy. This procedure thus plays a crucial role in enhancing cognitive and functional recovery in post-craniectomy patients. This report details the neuropsychological and functional assessments conducted pre- and post-operatively on a 27-year-old male patient who underwent cranioplasty after a prior craniectomy, which was necessitated by a subdural hemorrhage caused by an explosive incident, resulting in significant shrapnel wounds.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1809639cranioplastysyndrome of the trephinedneuropsychological recoveryintracranial pressurecraniectomybrain injurycranioplastiasíndrome do trepanadorecuperação neuropsicológicapressão intracranianacraniectomialesão cerebral |
| spellingShingle | Jamal Qaddumi Ahmad Eshtaya Rola Khalid Mosbah Alawneh Nadeen Salman Cranioplasty as a Catalyst for Neurofunctional and Emotional Restoration in Severe Brain Injury: A Case Report Analysis Brazilian Neurosurgery cranioplasty syndrome of the trephined neuropsychological recovery intracranial pressure craniectomy brain injury cranioplastia síndrome do trepanado recuperação neuropsicológica pressão intracraniana craniectomia lesão cerebral |
| title | Cranioplasty as a Catalyst for Neurofunctional and Emotional Restoration in Severe Brain Injury: A Case Report Analysis |
| title_full | Cranioplasty as a Catalyst for Neurofunctional and Emotional Restoration in Severe Brain Injury: A Case Report Analysis |
| title_fullStr | Cranioplasty as a Catalyst for Neurofunctional and Emotional Restoration in Severe Brain Injury: A Case Report Analysis |
| title_full_unstemmed | Cranioplasty as a Catalyst for Neurofunctional and Emotional Restoration in Severe Brain Injury: A Case Report Analysis |
| title_short | Cranioplasty as a Catalyst for Neurofunctional and Emotional Restoration in Severe Brain Injury: A Case Report Analysis |
| title_sort | cranioplasty as a catalyst for neurofunctional and emotional restoration in severe brain injury a case report analysis |
| topic | cranioplasty syndrome of the trephined neuropsychological recovery intracranial pressure craniectomy brain injury cranioplastia síndrome do trepanado recuperação neuropsicológica pressão intracraniana craniectomia lesão cerebral |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1809639 |
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