Cranioplasty, Head Trauma and Neuropsychological Rehabilitation
Espinosa-Gil Rosa María1*, Raya-Güimil David2 and Monteagudo Santamaría María3
1FEA Clinical Psychology, Rehabilitation Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
2Resident of Clinical Psychology, Multiprofessional Teaching Unit of Mental Health of the Region of Murcia, Spain
3FEA Rehabilitation, Head of The Physical Medicine and Rehabilitation Service, Rehabilitation Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
*Corresponding Author: Espinosa-Gil Rosa María, FEA Clinical Psychology, Rehabilitation Service, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Received:
July 01, 2021; Published: July 23, 2021
Abstract
Decompressive craniectomy in people suffering from head injuries have been performed since the early twentieth century. At first they were performed in both hemispheres and today it is usually performed in the affected hemisphere. Although it is usually the last measure to be taken by neurosurgeons due to the strong risk it entails at the functional level, its practice is still necessary for some patients.
Sometimes patients have a comminute cerebral fracture so it is very difficult to re-implant the intact skull after the indicated period, when edematous symptoms are reduced and it is necessary to resort to other grafts.
This paper presents the results of two patients with TBI after performing a cranioplasty and subsequent incorporation into a neuropsychological rehabilitation program for one year (cognitive stimulation and interfamilial-intercultural groups) in a rehabilitation service. An improvement was observed in different neuropsychological parameters, being an indicator that cranioplasty improved cerebral blood flow and cortical atrophy. Likewise, the findings suggest that after 6 months, the brain organization has already occurred and no further improvements are obtained in the parameters and neuropsychological measures studies.
Keywords: TBI; Cranioplasty; Clinical Psychology; Neuropsychology; Neuropsychological Rehabilitation
References
- Price B H., et al. “The comportmental learning disabilities of early frontal lobe damage”. Brain: A Journal of Neurology 113 (1990): 1383-1393.
- Pelegrin C and Tirapu J. “Neuropsychiatry of traumatic prefrontal damage”. Monographs of Psychiatry 7 (1995): 11-21.
- Verdejo-García Antonio and Antoine Bechara. “Neuropsicología de las funciones ejecutivas” [Neuropsychology of executive functions]”. Psicothema2 (2010): 227-235.
- Sohlberg MM and CA Mateer. “Training use of compensatory memory books: a three stage behavioral approach”. Journal of Clinical and Experimental Neuropsychology6 (1989): 871-891.
- Kolb Bryan and Ian Q Whishaw. “Fundamentals of human neuropsychology”. Macmillan (2009).
- Read D E. “Solving deductive-reasoning problems after unilateral temporal lobectomy”. Brain and Language1 (1981): 116-127.
- Blumer D and Walker E. “The neural basis of sexual behavior”. In D.F. Benson and F. Blumer, eds. Psychiatric Aspects of Neurologic Disease. New York: Grune and Stratton (1975).
- Blumer D and Benson D. “Personality changes with frontal and temporal lesions”. In D.F. Benson and F. Blumer, eds. Psychiatric Aspects of Neurologic Disease. New York: Grune and Stratton (1975).
- Machado Sergio., et al. "Hemispheric specialization and regulation of motor behavior from the perspective of cognitive neuroscience”. Mental Health6 (2013): 513-520.
- Cooper D James., et al. “Decompressive craniectomy in diffuse traumatic brain injury”. The New England Journal of Medicine16 (2011): 1493-1502.
- Hutchinson Peter J., et al. “Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension”. The New England Journal of Medicine12 (2016): 1119-1130.
- González de Santiag MA., et al. “Cranial reconstruction with custom implant”. Revista Española de Cirugía Oral y Maxilofacial1 (2011): 40-44.
- Cooker T. “The therapy of intracranial pressure”. In Holder A ed: Brain scrounging, intracranial pressure and surgical interventions in brain diseases. Vienna: A Holder (1901): 262-266.
- Lacerda Gallardo AJ., et al. “Decompressive craniectomy in the management of head trauma. A surgical option”. Revista Mexicana de Neurocirugía6 (2004): 564-570.
- Lacerda Gallardo AJ., et al. “Protocol for early surgical treatment in the control of intracranial hypertension in severe head trauma". Revista Chilena de Neurocirugía 29 (2007): 45-51.
- Lacerda Gallardo AJ., et al. “Decompressive hemicraniectomy as a treatment of malignant cerebral infarction". Revista Chilena de Neurocirugía 28 (2007): 34-40.
- Winkler PA., et al. “Influence of cranioplasty on postural blood flow regulation, cerebrovascular reserve capacity, and cerebral glucose metabolism”. Journal of Neurosurgery 93 (2000): 53-61.
- Suzuki N., et al. “Neurological improvement after cranioplasty. Analysis by dynamic CT scan”. Acta Neurochirurgica1-2 (1993): 49-53.
- Won Yoo-Dong et al. “Cranioplasty effect on the cerebral hemodynamics and cardiac function”. Acta Neurochirurgica 102 (2008): 15-20.
- Paredes Igor., et al. “Cranioplasty after decompressive craniectomy. A prospective series analyzing complications and clinical improvement”. Neurocirugia (Asturias, Spain)3 (2015): 115-125.
- Erdogan E., et al. “The effect of cranioplasty on cerebral hemodynamics: evaluation with transcranial Doppler sonography”. Neurology India4 (2003): 479-481.
- Reitan Ralph M. "Validity of the Trail Making Test as an indicator of organic brain damage”. Perceptual and Motor Skills3 (1958): 271-276.
- Wechsler D. “Adaptation to Spanish of the Wechsler-III memory scale”. Madrid: TEA Ediciones (2004).
- Folstein M F., et al. “‘Mini-mental state’. A practical method for grading the cognitive state of patients for the clinician”. Journal of Psychiatric Research3 (1975): 189-198.
- Peña-Casanova J. "Normality, semiology and neuropsychological pathology. Integrated Neuropsychological Exploration Program. Test Barcelona Revised (2nd ed.)". Barcelona: Masson (2004).
- King A. “Copy Test of a complex figure”. Manual. Spanish adaptation. Madrid: TEA EDICIONES (1997).
- Dubois B., et al. “The FAB: a Frontal Assessment Battery at bedside”. Neurology 11 (2000): 1621-1626.
- Sanz, Jesús., et al. "Spanish Adaptation of the Inventory for Beck-II Depression (BDI-II): 3. Psychometric Properties in Patients with Psychological Disorders”. Clinic and Health2 (2005): 121-142.
- Zuliani L. "The use of both hands enables further development”. Revista Médica Pediátrica. Official Organ of the Colombian Society of Pediatrics 2 (2003).
- Ríos-Lago M., et al. "Alteraciones de la atención tras daño cerebral traumático: evaluación y rehabilitación”. Revista de Neurología5 (2007): 291-297.
- Sohlberg MM and Mateer CA. “Cognitive rehabilitation: an integrative neuropsychological approach”. 1 ed. New York: Guilford Press (2001).
- Espinosa-Gil Rosa María and Monteagudo Santamaría María. “Inter-Family/Intercultural Group/and Acquired Brain Injury”. EC Psychology and Psychiatry10 (2020): 09-18.
- Baddeley A., et al. “Testing central executive with a pencil and paper test. In Rabbitt P. “Methodology of frontal and executive function”. Hove, UK: Psychology Press (1997).
- Muñoz JM and Tirapu J. “Rehabilitación de las funciones ejecutivas”. Revista de Neurología7 (2004): 656-663.
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