Schiffer J, Gur R, Nisim U, Pollak L
Department of Neurosurgery, Assaf Harofeh Medical Center, Zerifin, Israel.
Surg Neurol. 1997 Mar;47(3):231-7. doi: 10.1016/s0090-3019(96)00376-x.
Various surgical procedures in neurosurgery end with cranial vault defects. It is generally believed that the reason for repair of the skull defect is cosmetic or protective. There is evidence, however, that in selected cases neurologic deterioration can be reversed by cranioplasty. In the sinking scalp flap syndrome the deterioration has been thought to be related to the concavity of the skin flap and underlying brain tissue secondary to atmospheric pressure and also to the in-and-out displacement of the brain through the skull defect. Five cases of symptomatic patients after craniectomy are reported, of which all had a neurologic deterioration that was improved by cranioplasty.
神经外科的各种手术操作最终都会导致颅骨穹窿缺损。人们普遍认为修复颅骨缺损的原因是出于美观或保护目的。然而，有证据表明，在某些特定情况下，颅骨成形术可以逆转神经功能恶化。在凹陷性头皮瓣综合征中，人们认为这种恶化与皮瓣和其下方脑组织因大气压力而形成的凹陷有关，也与大脑通过颅骨缺损的进出移位有关。本文报告了5例颅骨切除术后出现症状的患者，所有患者均出现神经功能恶化，而颅骨成形术使其得到改善。
