Death, a Rare Complication of Cranioplasty in Emergency: A Case Report

Cranioplasty is a reconstructive procedure which is performed to restore the calvarial integrity with either a stored autologous bone flap or a custom synthetic prosthesis. It is performed to protect the brain and as a cosmetic procedure. It has been shown to improve patient’s functional outcome....

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Autores principales:	Nandakishore Sahoo, sudarshan bhat, Mohan Rangan
Formato:	article
Lenguaje:	EN
Publicado:	JCDR Research and Publications Private Limited 2021
Materias:	cerebral oedema residual calvarial defect sinking skin flap Medicine R
Acceso en línea:	https://doaj.org/article/caa7faa9cf40443287b3a79476692b7b
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spelling	oai:doaj.org-article:caa7faa9cf40443287b3a79476692b7b2021-11-14T06:50:02ZDeath, a Rare Complication of Cranioplasty in Emergency: A Case Report10.7860/JCDR/2021/43799.153552249-782X0973-709Xhttps://doaj.org/article/caa7faa9cf40443287b3a79476692b7b2021-09-01T00:00:00Zhttps://www.jcdr.net/articles/PDF/15355/43799_CE[Ra1]_F(SHU)_PF1(MG_SHU)_PN(KM).pdfhttps://doaj.org/toc/2249-782Xhttps://doaj.org/toc/0973-709XCranioplasty is a reconstructive procedure which is performed to restore the calvarial integrity with either a stored autologous bone flap or a custom synthetic prosthesis. It is performed to protect the brain and as a cosmetic procedure. It has been shown to improve patient’s functional outcome. This procedure has been performed as early as <14 days postdecompressive craniectomy. Cranioplasty in emergency which is a variant of secondary cranioplasty is rarely indicated after decompressive craniectomy. Complication rate associated with cranioplasty is relatively high. Infection, convulsions, and epidural haematoma are frequent complications of cranioplasty which are not life threatening. Fatal complications associated with this procedure are not well documented and that could be among one of the reason that death, as a complication following cranioplasty is substantially low. Here, a case of unexpected death of a 37-year-old female postcranioplasty which was performed as an emergency procedure is reported. She was a previous case of right mid one-third parasagittal meningioma who developed severe sinking skin flap syndrome after three months of parasagittal craniectomy. The patient was operated under general anaesthesia for reconstruction of the residual calvarial defect. However, the patient developed bacterial meningitis and on the 16th day postcranioplasty procedure, she died of cardiac arrest. The procedure had otherwise been uneventful and it was speculated that infection and cerebral oedema postcranioplasty might have been the cause of death.Nandakishore Sahoosudarshan bhatMohan RanganJCDR Research and Publications Private Limitedarticlecerebral oedemaresidual calvarial defectsinking skin flapMedicineRENJournal of Clinical and Diagnostic Research, Vol 15, Iss 9, Pp ZD04-ZD06 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cerebral oedema residual calvarial defect sinking skin flap Medicine R
spellingShingle	cerebral oedema residual calvarial defect sinking skin flap Medicine R Nandakishore Sahoo sudarshan bhat Mohan Rangan Death, a Rare Complication of Cranioplasty in Emergency: A Case Report
description	Cranioplasty is a reconstructive procedure which is performed to restore the calvarial integrity with either a stored autologous bone flap or a custom synthetic prosthesis. It is performed to protect the brain and as a cosmetic procedure. It has been shown to improve patient’s functional outcome. This procedure has been performed as early as <14 days postdecompressive craniectomy. Cranioplasty in emergency which is a variant of secondary cranioplasty is rarely indicated after decompressive craniectomy. Complication rate associated with cranioplasty is relatively high. Infection, convulsions, and epidural haematoma are frequent complications of cranioplasty which are not life threatening. Fatal complications associated with this procedure are not well documented and that could be among one of the reason that death, as a complication following cranioplasty is substantially low. Here, a case of unexpected death of a 37-year-old female postcranioplasty which was performed as an emergency procedure is reported. She was a previous case of right mid one-third parasagittal meningioma who developed severe sinking skin flap syndrome after three months of parasagittal craniectomy. The patient was operated under general anaesthesia for reconstruction of the residual calvarial defect. However, the patient developed bacterial meningitis and on the 16th day postcranioplasty procedure, she died of cardiac arrest. The procedure had otherwise been uneventful and it was speculated that infection and cerebral oedema postcranioplasty might have been the cause of death.
format	article
author	Nandakishore Sahoo sudarshan bhat Mohan Rangan
author_facet	Nandakishore Sahoo sudarshan bhat Mohan Rangan
author_sort	Nandakishore Sahoo
title	Death, a Rare Complication of Cranioplasty in Emergency: A Case Report
title_short	Death, a Rare Complication of Cranioplasty in Emergency: A Case Report
title_full	Death, a Rare Complication of Cranioplasty in Emergency: A Case Report
title_fullStr	Death, a Rare Complication of Cranioplasty in Emergency: A Case Report
title_full_unstemmed	Death, a Rare Complication of Cranioplasty in Emergency: A Case Report
title_sort	death, a rare complication of cranioplasty in emergency: a case report
publisher	JCDR Research and Publications Private Limited
publishDate	2021
url	https://doaj.org/article/caa7faa9cf40443287b3a79476692b7b
work_keys_str_mv	AT nandakishoresahoo deathararecomplicationofcranioplastyinemergencyacasereport AT sudarshanbhat deathararecomplicationofcranioplastyinemergencyacasereport AT mohanrangan deathararecomplicationofcranioplastyinemergencyacasereport
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Death, a Rare Complication of Cranioplasty in Emergency: A Case Report

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