Can Cranioplasty Be Considered a Tool to Improve Cognitive Recovery Following Traumatic Brain Injury? A 5-Years Retrospective Study

Cranioplasty (CP) is a neurosurgical intervention of skull repairing following a decompressive craniectomy. Unfortunately, the impact of cranioplasty on cognitive and motor function is still controversial. Fifteen TBI subjects aged 26–54 years with CP after decompressive craniectomy were selected in...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Francesco Corallo, Viviana Lo Buono, Rocco Salvatore Calabrò, Maria Cristina De Cola
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	cranioplasty cognitive improvement traumatic brain injury neuropsychology Medicine R
Acceso en línea:	https://doaj.org/article/49c74bff788d421c88cb6398b4126df2
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:49c74bff788d421c88cb6398b4126df2
record_format	dspace
spelling	oai:doaj.org-article:49c74bff788d421c88cb6398b4126df22021-11-25T18:02:49ZCan Cranioplasty Be Considered a Tool to Improve Cognitive Recovery Following Traumatic Brain Injury? A 5-Years Retrospective Study10.3390/jcm102254372077-0383https://doaj.org/article/49c74bff788d421c88cb6398b4126df22021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5437https://doaj.org/toc/2077-0383Cranioplasty (CP) is a neurosurgical intervention of skull repairing following a decompressive craniectomy. Unfortunately, the impact of cranioplasty on cognitive and motor function is still controversial. Fifteen TBI subjects aged 26–54 years with CP after decompressive craniectomy were selected in this observational retrospective study. As per routine clinical practice, a neuropsychological evaluation carried out immediately before the cranioplasty (Pre CP) and one month after the cranioplasty (T0) was used to measure changes due to CP surgery. This assessment was performed each year for 5 years after discharge in order to investigate long-term cognitive changes (T1-T5). Before cranioplasty, about 53.3% of subjects presented a mild to severe cognitive impairment and about 40.0% a normal cognition. After CP, we found a significant improvement in all neuropsychological test scores. The more significant differences in cognitive recovery were detected after four years from CP. Notably, we found significant differences between T4 and T0-T1, as well as between T5 and T0-T1-T2 in all battery tests. This retrospective study further suggests the importance of CP in the complex management of patients with TBI showing how these patients might improve their cognitive function over a long period after the surgical procedure.Francesco CoralloViviana Lo BuonoRocco Salvatore CalabròMaria Cristina De ColaMDPI AGarticlecranioplastycognitive improvementtraumatic brain injuryneuropsychologyMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5437, p 5437 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cranioplasty cognitive improvement traumatic brain injury neuropsychology Medicine R
spellingShingle	cranioplasty cognitive improvement traumatic brain injury neuropsychology Medicine R Francesco Corallo Viviana Lo Buono Rocco Salvatore Calabrò Maria Cristina De Cola Can Cranioplasty Be Considered a Tool to Improve Cognitive Recovery Following Traumatic Brain Injury? A 5-Years Retrospective Study
description	Cranioplasty (CP) is a neurosurgical intervention of skull repairing following a decompressive craniectomy. Unfortunately, the impact of cranioplasty on cognitive and motor function is still controversial. Fifteen TBI subjects aged 26–54 years with CP after decompressive craniectomy were selected in this observational retrospective study. As per routine clinical practice, a neuropsychological evaluation carried out immediately before the cranioplasty (Pre CP) and one month after the cranioplasty (T0) was used to measure changes due to CP surgery. This assessment was performed each year for 5 years after discharge in order to investigate long-term cognitive changes (T1-T5). Before cranioplasty, about 53.3% of subjects presented a mild to severe cognitive impairment and about 40.0% a normal cognition. After CP, we found a significant improvement in all neuropsychological test scores. The more significant differences in cognitive recovery were detected after four years from CP. Notably, we found significant differences between T4 and T0-T1, as well as between T5 and T0-T1-T2 in all battery tests. This retrospective study further suggests the importance of CP in the complex management of patients with TBI showing how these patients might improve their cognitive function over a long period after the surgical procedure.
format	article
author	Francesco Corallo Viviana Lo Buono Rocco Salvatore Calabrò Maria Cristina De Cola
author_facet	Francesco Corallo Viviana Lo Buono Rocco Salvatore Calabrò Maria Cristina De Cola
author_sort	Francesco Corallo
title	Can Cranioplasty Be Considered a Tool to Improve Cognitive Recovery Following Traumatic Brain Injury? A 5-Years Retrospective Study
title_short	Can Cranioplasty Be Considered a Tool to Improve Cognitive Recovery Following Traumatic Brain Injury? A 5-Years Retrospective Study
title_full	Can Cranioplasty Be Considered a Tool to Improve Cognitive Recovery Following Traumatic Brain Injury? A 5-Years Retrospective Study
title_fullStr	Can Cranioplasty Be Considered a Tool to Improve Cognitive Recovery Following Traumatic Brain Injury? A 5-Years Retrospective Study
title_full_unstemmed	Can Cranioplasty Be Considered a Tool to Improve Cognitive Recovery Following Traumatic Brain Injury? A 5-Years Retrospective Study
title_sort	can cranioplasty be considered a tool to improve cognitive recovery following traumatic brain injury? a 5-years retrospective study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/49c74bff788d421c88cb6398b4126df2
work_keys_str_mv	AT francescocorallo cancranioplastybeconsideredatooltoimprovecognitiverecoveryfollowingtraumaticbraininjurya5yearsretrospectivestudy AT vivianalobuono cancranioplastybeconsideredatooltoimprovecognitiverecoveryfollowingtraumaticbraininjurya5yearsretrospectivestudy AT roccosalvatorecalabro cancranioplastybeconsideredatooltoimprovecognitiverecoveryfollowingtraumaticbraininjurya5yearsretrospectivestudy AT mariacristinadecola cancranioplastybeconsideredatooltoimprovecognitiverecoveryfollowingtraumaticbraininjurya5yearsretrospectivestudy
_version_	1718411677103292416

Can Cranioplasty Be Considered a Tool to Improve Cognitive Recovery Following Traumatic Brain Injury? A 5-Years Retrospective Study

Ejemplares similares