超晚期颅骨成形术对一名长期意识障碍患者的影响》（The Effect of Ultra-Late Cranioplasty in a Patient with Long-Term Disorders of Consciousness）。

IF 2.7 3区医学 Q3 NEUROSCIENCES Brain Sciences Pub Date : 2024-10-19 DOI:10.3390/brainsci14101038

Marianna Contrada, Federica Scarfone, Maria Girolama Raso, Lucia Francesca Lucca, Antonio Cerasa, Maria Elena Pugliese

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引用次数: 0

摘要

背景/目的：颅骨成形术（CP）是旨在修复颅骨形态缺陷的主要外科手术。方法：在此，我们描述了一名创伤性脑损伤（TBI）患者在前额顶骨减压性颅骨切除术（DC）19 个月后接受颅骨成形术的 2 年临床过程：结果：我们发现，在超晚期CP术后，患者的功能（认知和运动）得到了有意义的恢复，并摆脱了微意识状态，恢复了功能性交流：结论：我们的初步研究结果有助于对神经外科手术治疗成功的CP时机进行实际讨论，因为早期CP已经得到证实。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Effect of Ultra-Late Cranioplasty in a Patient with Long-Term Disorders of Consciousness.

Background/objectives: Cranioplasty (CP) is the main surgical procedure aiming to repair a morphological defect in the skull. It has been shown that early CP is useful for patients with traumatic brain injury (TBI) to achieve functional recovery, whereas few studies have investigated the clinical effects of ultra-late CP on TBI outcomes.

Methods: Here, we describe the clinical course over 2 years of a TBI patient who underwent CP 19 months after fronto-parietal decompressive craniectomy (DC) of a limited size.

Results: We found that after ultra-late CP, a meaningful functional recovery (cognitive and motor), with emergence from a minimally conscious state and recovery of functional communication, was revealed.

Conclusions: Our preliminary findings contribute to the actual debate on the timing of CP for this neurosurgical procedure's therapeutic success, as early CP has already been shown.

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来源期刊

Brain Sciences Neuroscience-General Neuroscience

CiteScore

4.80

自引率

9.10%

发文量

1472

审稿时长

18.71 days

期刊介绍： Brain Sciences (ISSN 2076-3425) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes and short communications in the areas of cognitive neuroscience, developmental neuroscience, molecular and cellular neuroscience, neural engineering, neuroimaging, neurolinguistics, neuropathy, systems neuroscience, and theoretical and computational neuroscience. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Electronic files or software regarding the full details of the calculation and experimental procedure, if unable to be published in a normal way, can be deposited as supplementary material.