Janzen Courtney, Kruger Kate, Honeybul Stephen
Department of Occupational Therapy, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
Brain Inj. 2012;26(1):101-5. doi: 10.3109/02699052.2011.635357.
The syndrome of the trephined is a rare complication observed following a unilateral decompressive craniectomy for traumatic brain injury. What has not been previously reported is the occurrence of this complication following a bifrontal procedure. The objective of this study was to present two clinical cases that serve to highlight this condition.
A case study of two patients who had had a bifrontal decompressive craniectomy for severe traumatic brain injury.
A review was undertaken detailing the clinical course of the two patients.
Both cases were young males. They had initially made significant improvement in their functional and cognitive performance whilst undergoing rehabilitation. However, after some months they demonstrated marked deterioration. Immediately following cranioplasty they showed considerable clinical improvement.
If the use of bifrontal decompressive craniectomies continues to increase it is important that those involved in the rehabilitation process are familiar with this rare condition. Early recognition is important so that patients can receive timely intervention and it also avoids valuable health resources being allocated to patients who cannot receive maximal benefit.
环锯综合征是创伤性脑损伤单侧减压性颅骨切除术后观察到的一种罕见并发症。此前尚未有关于双额部手术术后出现该并发症的报道。本研究的目的是呈现两例临床病例以突出这种情况。
对两名因严重创伤性脑损伤接受双额部减压性颅骨切除术患者的病例研究。
详细回顾了两名患者的临床病程。
两例均为年轻男性。他们在康复过程中功能和认知表现最初有显著改善。然而，数月后出现明显恶化。颅骨修补术后即刻显示出相当大的临床改善。
如果双额部减压性颅骨切除术的使用持续增加，参与康复过程的人员熟悉这种罕见情况很重要。早期识别很重要，这样患者可以得到及时干预，同时也避免将宝贵的医疗资源分配给无法获得最大益处的患者。
