Early skull repair strategy for patients with encephalocele after decompressive craniectomy

doi:10.3877/cma.j.issn.2095-9141.2020.03.010

Abstract

Abstract:

Objective

To explore the clinical effect of early correction of encephalocele and skull repair in patients with encephalocele after decompressive craniectomy.

Methods

The clinical data of 23 patients with encephalocele after decompressive craniectomy, admitted to Department of Neurosurgery, Jincheng People’s Hospital from January 2014 to January 2017, were analyzed retrospectively. The CT and modified rankin scale (mRs) scores of the patients before and after operation were compared.

Results

At the same time of correction of encephalocele, skull repair was successfully performed in early stage in all patients. All patients recovered smoothly, no manifestation of intracranial hypertension and no death. After operation, CT showed encephalocele and brain tissue displacement correction, and the mRs score of some patients was lower than that before operation.

Conclusion

In view of the encephalocele caused by different reasons after decompressive craniectomy, early measures should be taken to correct the encephalocele and cranioplasty at the same time, which is practicable in clinic and has definite curative effect.

Key words: Decompressive craniectomy, Skulldefect, Encephalocele, Cranioplasty

Zhihua Tian, Xiaohong Ru, Min Li, Haifeng Duan, Hao Zhang, Kefeng Huang. Early skull repair strategy for patients with encephalocele after decompressive craniectomy[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2020, 06(03): 176-179.

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https://zhsjcswkdzzz.cma-cmc.com.cn/EN/Y2020/V06/I03/176

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