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Comprehensive cognitive and cerebral hemodynamic evaluation after cranioplasty

Authors Coelho F, Maynart Oliveira A, Paiva W, Rios Freire F, Tome Calado V, Amorim R, Neville I, Andrade A, Bor-Seng-Shu E, Anghinah R, Teixeira M

Received 12 August 2013

Accepted for publication 4 November 2013

Published 2 May 2014 Volume 2014:10 Pages 695—701


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4

Fernanda Coelho,1 Arthur Maynart Oliveira,2 Wellingson Silva Paiva,2 Fabio Rios Freire,1 Vanessa Tome Calado,1 Robson Luis Amorim,2 Iuri Santana Neville,2 Almir Ferreira de Andrade,2 Edson Bor-Seng-Shu,3 Renato Anghinah,1 Manoel Jacobsen Teixeira2

1Neurorehabilitation Group, Division of Neurology, 2Division of Neurosurgery, 3Neurosonology and Cerebral Hemodynamics Group, University of São Paulo Medical School, São Paulo, Brazil

Abstract: 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.

Keywords: cranioplasty, decompressive craniotomy, perfusion CT, traumatic brain injury, cognition, neuropsychological test

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