====== Cranioplasty contraindications ====== 1. infection: especially at the [[craniectomy]] site, but also at distal sites because of the fear of seeding the [[cranioplasty]] flap. 2. brain protruding beyond the confines of the skull. 3. untreated hydrocephalus: this is complicated because treating hydrocephalus may require repairing the bone defect, usually in combination with a shunt ---- The presence of hydrocephalus, infection, and brain swelling. In children below 4 years old, if there is an intact dura mater, cranium can achieve self closure.