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.
July 01, 2021; Published: July 23, 2021
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
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