Cranioplasty after decompressive craniectomy for severe traumatic brain injury

• Impact of frailty in elderly patients undergoing decompressive craniectomy after traumatic brain injury
• Hemispheric asymmetry and its influence on cranioplasty complications after decompressive craniectomy
• Delayed and recurrent surgical site infection from resorbed bone fragment after autologous cranioplasty: a case report
• Outcome after decompressive craniectomy in older adults after traumatic brain injury
• Bilateral Frontoparietotemporal Craniectomy for Traumatic Brain Injury: A Case Report
• Surgical treatment of patients with skull defects and cerebrospinal fluid flow disorders after previous decompressive craniectomy
• Functional outcome in patients with traumatic or hemorrhagic brain injuries undergoing decompressive craniectomy versus craniotomy and 6-month rehabilitation
• Unusual presentation in syndrome of trephined - A unique case observation

An elderly gentleman with traumatic brain injury underwent DC. He later developed a Syndrome of the trephined as unexplained agitation which responded to cranioplasty by returning to a state of calm. His cognitive function further improved over a period of 6 months. This is an unusual observation reported in this case.

Timely recognition of the cognitive complications of craniectomy that may respond to early cranioplasty promises to decrease the length of hospital stay and enhance rehabilitation in such patients ¹⁾