Stula D, Müller H R
Neurochirurgia (Stuttg). 1980 Mar;23(2):41-6. doi: 10.1055/s-2008-1053487.
Cosmetic aspects and protection of the brain from mechanical injuries are the most common indications for the repair of traumatic and operative cranial defects. We suggest two additional indications: Cranioplasty is not only important in the treatment of space-occupying fluid cysts, but also in preventing or overcoming hemisphere collapse with its resultant displacement of the midline structures. This complication was almost exclusively found in patients subjected to extensive lateral craniotomies and also led to psycho-organic syndromes with disturbances of mood and drive. In few cases a crippling hemiparesis and epileptiform fits were also present. The recovery of the patients was almost complete after the repair of the cranial defect. Clinical improvement was due to restitution of physiological intracranial pressure state and re-expansion of the cerebral hemispheres as could be shown by computer tomography. The operative procedure of auto-, homo- and heteroplastic cranioplasty is described, with particular emphasis on the new technique with acrylic plastic, developed by the authors.
颅骨缺损修复的最常见适应证是美容方面以及保护大脑免受机械损伤。我们提出另外两个适应证：颅骨成形术不仅在治疗占位性液囊肿方面很重要，而且在预防或克服半球塌陷及其导致的中线结构移位方面也很重要。这种并发症几乎仅见于接受广泛外侧开颅手术的患者，并且还会导致伴有情绪和驱力障碍的精神器质性综合征。少数情况下还会出现严重的偏瘫和癫痫样发作。颅骨缺损修复后患者几乎完全康复。计算机断层扫描显示，临床改善归因于生理颅内压状态的恢复和脑半球的重新扩张。本文描述了自体、同种和异种颅骨成形术的手术过程，特别强调了作者开发的丙烯酸塑料新技术。
