Abstract:
BACKGROUND:In children, decompressive craniectomy is commonly performed in cases of increased intracranial pressure that is not medically managed. Currently, it is standard practice to perform cranioplasty after decompressive craniectomy, although optimal timing for the procedure remains controversial. To date, few studies have reported spontaneous cranial bone regeneration in children without intervention. CASE DESCRIPTION:A 7-year-old female presented with frontotemporal bone fractures accompanied by dura mater lacerations and brain edema after a motor vehicle accident. She underwent a large decompressive craniectomy and repair of the lacerated dura with a collagen dural substitute. The patient was discharged from the hospital and did not present for follow-up until 10 months after surgery. At that time, computed tomography imaging revealed remarkable spontaneous bone regeneration. With conservative management, she developed enough bone regeneration in the calvarial defect area that cranioplasty surgery was deemed unnecessary. To this date, the patient has no aesthetic deformation of the skull bone and does not exhibit any residual cognitive impairment or motor deficits. CONCLUSIONS:This case report shows that cranial bone regeneration is possible in children older than 6 years old, bypassing the need for cranioplasty after decompressive craniectomy. On the basis of this observation, we recommend that more studies should be performed to identify the factors involved in spontaneous skull bone regeneration in the pediatric population.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Figueroa-Sanchez JA,Ferrigno AS,Moreno-Cuevas J,Gonzalez-Garza MT,Jamall S,Martinez HRdoi
10.1016/j.wneu.2019.04.085subject
Has Abstractpub_date
2019-07-01 00:00:00pages
316-318eissn
1878-8750issn
1878-8769pii
S1878-8750(19)31077-0journal_volume
127pub_type
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journal_title:World neurosurgery
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doi:10.1016/j.wneu.2019.09.038
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVE:To evaluate effect of obesity on 12-month functional outcomes after surgery for lumbar stenosis in adult patients. METHODS:Data were collected on patients treated with lumbar laminectomy for symptomatic lumbar spinal stenosis as part of an observational registry and analyzed using a retrospective cohort stud...
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doi:10.1016/j.wneu.2020.12.108
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pub_type: 杂志文章
doi:10.1016/j.wneu.2017.03.130
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:To identify deficiencies leading to readmissions to the University of Florida Neurosurgery Service by using the Institute for Healthcare Improvement STate Action on Avoidable Rehospitalizations Readmissions diagnostic tool and to report the opinions of patients, their families, and health care providers. MET...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2014.02.028
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:Frailty is an increasingly studied tool for preoperative risk stratification, but its prognostic value for anterior cervical discectomy and fusion (ACDF) patients is unclear. We sought to evaluate the association of the 5-item modified Frailty Index (5i-mFI) with 30-day adverse outcomes following ACDF and it...
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pub_type: 杂志文章
doi:10.1016/j.wneu.2020.10.154
更新日期:2020-11-03 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.11.094
更新日期:2018-03-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2018.08.025
更新日期:2018-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2019.02.230
更新日期:2019-06-01 00:00:00
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doi:10.1016/j.wneu.2017.10.036
更新日期:2018-01-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章,评审
doi:10.1016/j.wneu.2020.06.153
更新日期:2020-10-01 00:00:00
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doi:10.1016/j.wneu.2016.07.060
更新日期:2016-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2016.08.099
更新日期:2016-12-01 00:00:00
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doi:10.1016/j.wneu.2019.06.092
更新日期:2019-10-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2020-10-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2016.08.091
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更新日期:2014-05-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章,评审
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更新日期:2016-02-01 00:00:00
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doi:10.1016/j.wneu.2020.10.139
更新日期:2020-11-12 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2017.05.064
更新日期:2017-10-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2017.08.152
更新日期:2017-12-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2014-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2016.07.023
更新日期:2016-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2018.02.053
更新日期:2018-05-01 00:00:00