A case of neurological recovery after cranioplasty following removal of acute subdural hematoma
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- Okuma Yu
- Department of Neurological Surgery, Hiroshima City Hiroshima Citizens Hospital Department of Emergency Medicine Cardiopulmonary, Feinstein Institute for Medical Research
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- Kegoya Yasuhito
- Department of Neurological Surgery, Hiroshima City Hiroshima Citizens Hospital
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- Sotome Yuta
- Department of Neurological Surgery, Hiroshima City Hiroshima Citizens Hospital
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- Matsuda Yuki
- Department of Neurological Surgery, Hiroshima City Hiroshima Citizens Hospital
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- Sato Yu
- Department of Neurological Surgery, Hiroshima City Hiroshima Citizens Hospital
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- Tanabe Tomoyuki
- Department of Neurological Surgery, Hiroshima City Hiroshima Citizens Hospital
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- Muraoka Kenichiro
- Department of Neurological Surgery, Hiroshima City Hiroshima Citizens Hospital
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- Hirotsune Nobuyuki
- Department of Neurological Surgery, Hiroshima City Hiroshima Citizens Hospital
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- Nishino Shigeki
- Department of Neurological Surgery, Hiroshima City Hiroshima Citizens Hospital
Bibliographic Information
- Other Title
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- 頭蓋形成術後に急速な神経機能改善を認めた急性硬膜下血腫の１例
- 症例報告 頭蓋形成術後に急速な神経機能改善を認めた急性硬膜下血腫の1例
- ショウレイ ホウコク ズガイ ケイセイ ジュツゴ ニ キュウソク ナ シンケイ キノウ カイゼン オ ミトメタ キュウセイコウマク カケッシュ ノ 1レイ
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Abstract
<p>The cranioplasty sometimes seems to offer patients clear benefits in terms of not only cosmetic improvement but also neurological improvement. In this report, we describe the case with acute subdural hematoma after an emergency cesarean section, who was a 34–year–old, pregnant woman. She had convulsions accompanied by impaired consciousness following a severe headache the day after tomorrow of cesarean section. Computed tomography scan showed acute subdural hematoma. We transported her to the operative room within half an hour and performed a craniotomy and evacuated hematoma by curettage with a toothbrush following emergency hematoma irrigation with burr hole. Unfortunately, she persisted vegetative state for 14 days. But she recovered dramatically a few days after we performed cranioplasty. Finally, her outcome was up to Modified Rankin scale 1.</p>
Journal
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- Neurotraumatology
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Neurotraumatology 41 (2), 81-85, 2018-12-30
The Japan Society of Neurotraumatology