Honeybul Stephen
Neurosurgery, Sir Charles Gairdner Hospital, 6009 Perth, Australia.
J Rehabil Med. 2017 Mar 6;49(3):204-207. doi: 10.2340/16501977-2209.
Given the continued use of decompressive craniectomy in the management of neurological emergencies recognition of complications is important in order for patients to gain maximal benefit during rehabilitation. One complication that has received relatively little attention is the neurological dysfunction that can occur due to distortion of the brain under the scalp as cerebral oedema subsides. The neurological deterioration that may occur can take many forms, probably due to a multifactorial pathophysiology. Recognition of this condition is important in order to avoid delays in the rehabilitation process. This review discusses the historical background, possible pathophysiological mechanisms, clinical incidence and implications for physiotherapists involved in rehabilitation.
鉴于减压性颅骨切除术仍用于治疗神经急症，认识并发症很重要，以便患者在康复过程中获得最大益处。一种相对较少受到关注的并发症是随着脑水肿消退，头皮下大脑变形可能导致的神经功能障碍。可能发生的神经功能恶化可能有多种形式，这可能归因于多因素病理生理学。认识到这种情况对于避免康复过程中的延误很重要。本文综述讨论了其历史背景、可能的病理生理机制、临床发病率以及对参与康复治疗的物理治疗师的影响。
