In:
Physical and rehabilitation medicine, medical rehabilitation, Federal Research and Clinical Center for Resuscitation and Rehabilitation, Vol. 2, No. 3 ( 2020-09-10), p. 263-272
Abstract:
Introduction. The frequency of post-traumatic hydrocephalus is 3.9%. The incidence of post-traumatic defects of the skull is 10.46 per 100,000 per year. Overdrain syndrome occurs in 1012% of cases in patients with long-term ventricular shunting. The presence of a cranial defect causes a violation of blood flow and cerebrospinal fluid dynamics in the area of the defect, a displacement of brain structures under the influence of gravity and atmospheric pressure, which can cause a deterioration in the patients condition and a significant slowdown in recovery after a severe head injury. Both craniotomy syndrome and excessive shunting can impede the verticalization and rehabilitation of patients with post-traumatic hydrocephalus and post-traumatic defects of the bones of the cranial vault. Description of the clinical case. Clinical case demonstrates an example of a differential approach and an algorithm for deciding on surgical treatment in a patient with post-traumatic hydrocephalus and cranial bones defect in case of deterioration during attempts at verticalization in a complex of rehabilitation measures. Conclusion. The clinical manifestations of trephine skull syndrome and syndrome of shunt overdrain in the patient after severe traumatic brain injury combines post-traumatic hydrocephalus, may be similar. And not always, as demonstrated in this clinical case, narrowed ventricles and the relationship of deterioration to verticalization should be interpreted as a syndrome of excessive drainage of the shunt system. The plastic surgery of the defect of the bones of the cranial vault performed in this case made it possible to improve the patients condition and regress symptoms.
Type of Medium:
Online Resource
ISSN:
2658-6843
DOI:
10.36425/rehab34244-21939
DOI:
10.36425/rehab34244-21940
DOI:
10.36425/rehab34244-21941
DOI:
10.36425/rehab34244-21942
DOI:
10.36425/rehab34244-21943
DOI:
10.36425/rehab34244-21944
DOI:
10.36425/rehab34244-21945
DOI:
10.36425/rehab34244-21946
DOI:
10.36425/rehab34244-25289
DOI:
10.36425/rehab34244-25290
DOI:
10.36425/rehab34244-25291
DOI:
10.36425/rehab34244-25292
DOI:
10.36425/rehab34244-25293
DOI:
10.36425/rehab34244-25294
Language:
Unknown
Publisher:
Federal Research and Clinical Center for Resuscitation and Rehabilitation
Publication Date:
2020
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